Just after the river flows from Lake Izabal it is spanned by one of the biggest bridges in Central America. On one side of the bridge is the town of Fronteras, commonly referred to by the name Río Dulce, the local center of commerce for the area. Fronteras has a local vegetable market, attracting locals from the countryside who arrive in dugout canoes. Most of these boats are powered with Japanese outboard motors but many come to market day paddling these cayucos by hand. On the other side is the town of El Relleno. Nearby is the children's village of Casa Guatemala, an orphanage that houses roughly 250 children and provides them with education and nourishment.