I also use my HD+ in Central America with no problems. I registered mine with B&N using my US address and credit card but don't buy much from them, only a couple of magazine subscriptions. Google Play apps are available to me. Also, I have a US-based Amazon account and use the Kindle for Android app to buy and read ebooks. It works great on my HD+.
You may want to consider rooting or using a dual boot SD card such as those from AFN or N2A to run a stock Android OS. Doing so will give you even more functionality as well as better performance.
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