The previous República de Cuba prior to Castro's regime had quite an array of orders for various branches of the military, police and civilians. These came in various classes from pin backed ribboned medals to higher class neck orders and the large breast stars. These are all nicely documented by Robert Werlich in his "Orders and Decorations of all Counties". But I am always looking for the odd item off the beaten track so to say. This is a rather unusual neck order that I have been unable to track down in any catalog.  It is an 8-pointed star with a red enameled cross with 5-pointed stars in each of the four quarters. The central design is the multicolored Cuban arms encircled by this legend: INTER INIMICOS CHARITAS. This must be an organization's name. The manufacturer's name is on a circular disc on the reverse: ANTIGUA VILARDEBO Y RIERA * HABANANA * / FABICADO / EN / CUBA.

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From Enrique Cayado and the Cuban Numismatic Association:

Order of Merit and Honor of the National Red Cross, knight (Orden de Honor y Mérito de la Cruz Roja Cubana, caballero); the face with a central circular medallion bearing the polychrome arms of the Republic of Cuba within a white enamel ring inscribed in gilt letters 'INTER INIMICOS CHARITAS (Charity between enemies).

The Cuban Red Cross was founded by Diego Tamayo y Figueredo on 10 March 1909 and recognized by the International Red Cross on 7 September 1909.