He was born on June 13, 1974 to Salvador and Maria Macias Ruiz. He was a supervisor for medical equipment for 26 years. Efrain is survived by his spouse; Rosa Duran de Macias, children; Angel Gabriel Macias Duran, Eduardo Macias Duran, Mayra Macias Duran and Christopher Andres Macias Duran.
Visitation will be held on Monday, March 17, 2025 at 5:00 pm Palm La Paz Funeral, 1605 "L" Street, Fresno CA 93721 and followed by a prayer service at 7:00 pm. Funeral Service St. John's Cathedral on Tuesday, March 18, 2025 10:30 am. Interment Clovis Cemetery District, 305 N. Villa Ave., Clovis, CA 93612.