I have had the pleasure of playing this dazzling GC on several occasions--on a visit in 2007, and again just about a year ago.
It is part of the sprawling Cap Cana development, a massively ambitious golf/marina/hotel/RE development that was in serious limbo when i was there in early December last year---a victim of the moribund economy.
But it has several things going for it: Just 10--15 minutes from the Punta Cana International Airport, a superb boutique hotel, called The Sanctuary, and this wonderful surfside GC. There was another course (I think Fazio) scheduled to open in the summer of 2009,just past, but I don't know if it did.
As to the question posed earlier: You get to the green from the cart path that runs in front of the condos in the picture's background. The sand is firm, not beachy, and shouldn;t get in your shoes!
Here's a story link about my recent visit---there were far more sports celebrities on-hand that weekend than there are holes on the golf course....
http://www.cybergolf.com/golf_news/cap_cana_where_the_stars_align