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Are there domestic airports at all tourist destinations?

No, there are only 14 domestic airports-air strips in Costa Rica.  The following are the locations: San Jose, Liberia, Arenal, Tamarindo, Nosara, Punta Islita, Tambor, Barra del Colorado, Tortuguero, Quepos, Palmar Sur, Drake Bay, Puerto Jimenez, Golfito.