No need to rent a car. Owner has a taxi she sets up from airport. Unit is near market, bakery, restaurants, bank, car rental, etc.
Took great excursion through Pro Excusions to Saona Island. We were picked up at the hotel next door for an all day boat trip out of Bayahibe.
Also rented a car and drove to Macao Beach for a day of surfing. Restaurants on beach.
Be care not to eat food not cooked. Easy to get sick on veg. and fruit eaten raw and rinsed in tap water.
Lovely beach with fewer vendors than most hotels which is a plus.
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