This is all very true, you will leave all your originals in Bavaro, then be called back to have your picture taken then be called back again to pick up the card, it's super easy as that office is a dream compared to the Capital. I was fortunate to have my medical done at La Referencia in Bavaro, of course I had to do it twice as they lost the first draw. My wife went three months later and was told NO GO, she had to go to the Capital for hers. I think the lab (La Refferencia) screwed up too many times and was unreliable so Migracion dropped them, a real bummer for sure... Your new Cedula is not issued by the immigration office but the JCE is just a ten minute drive away, super quick, super easy. Take the stairs on the left when you get inside and head to the second floor and you'll be out in 10 minutes..