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​The East Puerto Rico Conference was created in the late 1960s when rapid growth made it necessary to divide the Puerto Rico Conference.

​Albert and Ida Fischer were the first missionary workers to be sent to Puerto Rico.

​North Puerto Rico Conference is a part of Puerto Rican Union Conference in the Inter-America Division of Seventh-day Adventists. It was organized in 2000 and reorganized in 2010. Its headquarters is in Manati, Puerto Rico.

The Puerto Rican Union Conference was established in 1994 when the Antillian Union was divided.

David M. Traill is believed to have been the first Seventh-day Adventist person on the island of Puerto Rico because he had been sent by the U.S. Army as a military medic before Pastor Albert M. Fischer was sent by the Adventist Church as a missionary. Traill became interested in sharing the Adventist gospel in this unentered field.

​The West Puerto Rico Conference was established in 1969 and is one of four conferences in the Puerto Rico Union.