From this junction the river is given the name Río Caine for 162 km and continues to flow in a southeasterly direction, before it is called Río Grande. After a total of 500 km the river turns northeast and in a wide curve flows round the lowland city of Santa Cruz.
After 1.438 km, the Río Grande joins the Río Ichilo at which is a tributary to the Río Mamoré.