The belt and its design have been changed several times for a number of reasons. The location represented in the title's name has changed twice, both times in unofficial fashion after being rechristened and modified by its current holder in under to sell a villainous persona. During
Fidel Sierra's second reign, which began on June 2, 2001, and lasted for three months, he defended the title under the name of "Cuba Heavyweight Championship". To illustrate this change, he covered the word "Puerto Rico" in the main banner with a sticker that was inscribed with the word "Cuba", also covering the map of Puerto Rico that was featured in the center of the plate with a sticker of the
flag of Cuba. Sierra also covered the side plates with photos of him and his manager, Fantasy. All of these changes were reverted as soon as he lost the title. After winning the title on September 10, 2005, Brent Dail defended it as the "51st State Championship", a reference to the
statehood movement and its intention to annex Puerto Rico as the
51st state of the United States. Like Sierra, he covered the main banner with a sticker inscribed with "51st State" and flanked the main plate with additional stickers featuring the acronym "USA". The stickers were removed by the following champion as soon as he won the title, reverting the changes. == Title history ==