The municipality includes the villages or aldeas of: Chivarreto, Chirrenox, Pabatoc, Paxixil, Rancho de Teja, Pachaj, Sacmixit, San Antonio Sija, Saquicol Chiquito, and Tacajalbé.

(account suspended) Historical chronicler Francisco Antonio de Fuentes y Guzmán mentions the town in his 1689 Recordación Florida.

Residents of San Francisco El Alto joined the revolt against excessive tributes that began on 1820-02-20 in Santa María Chiquimula.

This can be seen from the bustling textile market days that fill the entire urban area of San Francisco El Alto, making it a favorite tourist destination.

Transportation has also improved as flotillas of tricycle taxis (tuk-tuks) and passenger vans (micros) provide services to any location in the area.