La Altagracia is the easternmost province of the Dominican Republic. Punta Cana is located on the eastern shores of this province. The province was part of the old La Altagracia Province, which split into 2, La Altagracia Province and La Romana Province on February 27, 1961. The name "La Altagracia" commemorates a painting, Our Lady of La Altagracia, which was brought to this area from Spain in the early 16th century.

San Felipe de Puerto Plata, Puerto de Plata, often referred to as simply Puerto Plata, is the ninth-largest city in the Dominican Republic, and capital of the province of Puerto Plata. The city serves as one of the most important trading ports in the country. Puerto Plata is famous for resorts such as Playa Dorada and Costa Dorada, located east of San Felipe de Puerto Plata. There are a total of 100,000 hotel beds in the city. The only aerial tramway in the Caribbean is located in Puerto Plata, in which visitors can ride up to the Pico Isabel de Torres, a 793 meter high mountain within the city. The amber museum, is also a well-known attraction in this city. La Isabela, a settlement built by Christopher Columbus, is located near Puerto Plata.