The country boasts one of the ten most important design schools in the region, La Escuela de Diseño de Altos de Chavón, which is making the country a key player in the world of fashion and design. Noted fashion designer Oscar de la Renta was born in the Dominican Republic in 1932, and became a US citizen in 1971. He studied under the leading Spaniard designer Cristóbal Balenciaga and then worked with the house of Lanvin in Paris. By 1963, he had designs bearing his own label. After establishing himself in the US, de la Renta opened boutiques across the country. His work blends French and Spaniard fashion with American styles. Although he settled in New York, de la Renta also marketed his work in Latin America, where it became very popular, and remained active in his native Dominican Republic, where his charitable activities and personal achievements earned him the Juan Pablo Duarte Order of Merit and the Order of Cristóbal Colón. De la Renta died of complications from cancer on October 20, 2014.