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From what I hear PR schools are very selective to PR residents or PR people. Thats what I HEAR at least.
Also, if you want to practice in the US stay in a US school, there's NO better option. Placement for residency in the US seems to go as follows:
US MD > US DO >> Anywhere else
Yes, they also do the entire interview in Spanish and require you take about a year of Spanish classes. Unless you're PR or hispanic, I wouldn't bank on PR schools accepting you.
Trust me, if there were a good back up then SDN would've mentioned it besides the obvious "Apply DO".