Many expats and investors are looking at Latin America with renewed interest as the potential for finding available land at reasonable prices has returned. Finding different and exciting options, like the Ecuador Islands, can provide unique opportunities to truly build a custom-made paradise.

Michel Isabela Blue Beach
While there are not many, the Ecuador Islands offer potential for those seeking to walk the proverbial less-traveled road. Finding one of these Pacific jewels can be a rewarding and exciting task.
Where to Find Island Properties in Ecuador

Isla Puna Palms
Ecuador does have a number of island properties available. While there are some that have been developed to varying degrees, many are still untouched, waiting for the right buyer to expand and grow the potential that is waiting there. Below are several island locations that expats or investors may wish to explore.
Puna Island, just a three hour ferry ride from Guayaquil, is a prime example of the potential of island property in Ecuador. Although only having modest development and infrastructure, Puna’s location makes it prime territory for a variety of investment projects ranging from eco-lodges, resort development, and residential building.
It can be anticipated that the revived market will spur interest by developers looking at the offshore potential of Ecuador Islands. Better infrastructure and increased efforts will enhance the region as a desirable “landing spot” for visitors and expats alike.
In the Footsteps of Darwin – The Galapagos Archipelago
New government rules have now made it possible to purchase island property in the Galapagos Archipelago. Up to 3% of the 60 islands in the archipelago are available for private ownership. Of the 60, there are 18 major islands with a total population of between 25,000 and 40,000.
The archipelago does have two small airports. Baltra (also known as South Seymour) has the major airfield; all private planes flying to the archipelago must land there as it is the only one with overnight facilities. However both Baltra’s airport and a newer one built on San Cristobal, home of the archipelago’s capital, receive flights from the continent.
Isla Isabella, geologically the youngest island of the Galapagos, has a village, Puerto Villamil, which is the third largest settlement in the island complex. With infrastructure improvement during the last few years, the available undeveloped acreage is becoming a desirable location for growth potential.
Buying Real Estate in Ecuador Is Much Different Than in the U.S., Canada or Europe
The real estate market in Ecuador is vastly different than its counterparts in North America or Europe. To begin with, there are no licensing requirements for real estate agents; as a result care should be taken as to selecting someone to represent your interests. Word of mouth from other expats and online communities are good places to begin the research.
A second major difference is that, like most of Central America, there is no multi-list system. It is possible to see the same property listed several places for different prices. Again, the time honored warning “caveat emptor” (let the buyer beware) should be taken to heart.
Foreigners have the same property rights as native Ecuadorians; in fact, residency is not a requirement to property ownership. The only restrictions are those pertaining to the National Security Areas within 50km of the borders or coastline; again an experienced real estate attorney can provide the correct information.
Keep in mind that all transactions will be done in Spanish. If you are not fluent in the language, it is strongly recommended that all documents be translated into English (or whatever your native tongue might be) so that all details are clear.
What Will It Cost?
Cash transactions are the preferred method of buying and selling real estate in Ecuador as in most of Central America. An all-cash transaction can result in substantial savings off the asking price; often as much as 30-40%.
It is possible to purchase with a mortgage requiring a substantial down payment with the rest deferred over a period running between 1 and 7 years. Finding a bank that will work with foreigners, while not difficult, can be a challenge.
Closing Fees and Costs
Most closing costs are borne by the buyer and are based on a percentage of the sale price. The chart below provides an idea of the typical fees involved and the percentage range for each:
Sample Ecuador Real Estate Transaction Costs | Amount | Who Pays |
Transfer Tax | 1.00% | buyer |
Provincial Transfer Tax | 0.11% | buyer |
Notary Fee | 0.10% | buyer |
Legal Fees | 1.00%-3.00% | buyer |
Agent’s Fee | 4.00%-6.00% | buyer |
Costs paid by buyer | 2.22%-4.22% | buyer |
Costs paid by seller | 4.00%=6.00% | seller |
Total Transaction Costs | 6.22%-10.22% |
(source: Global Property Guide)
Is Island Ownership for You – Some Things to Consider
Buying an island may seem, at first blush, to be a romantic and exciting choice to make for an expat getaway. It is important, however, to consider a number of factors before deciding that island life is the path to follow.
What Is the Long-Term Goal?
There is a vast difference in buying property, island or otherwise, for a personal residence as opposed to an investment opportunity. Deciding exactly what the “big picture” truly is can often determine whether island ownership is the best way of fulfilling that dream.
It IS about the Money
Island ownership is definitely for the fiercely independent types who want to carve out their own image of what paradise should be. That being said, unless money truly isn’t an object, going it alone could turn into a budget-busting proposition.
Paradise Is a Work in Progress
Many island properties will be undeveloped and will require basic infrastructure work such as drinkable water, a septic system, electricity, etc. Having the resources (or skill) to install these items is another consideration of island ownership. Keep in mind that materials and laborers will have to be brought in from the mainland requiring transportation and the associated costs.
Obtaining the proper permits from the government can also be a tricky course to navigate. As is the case with many transactions in foreign countries, language barriers and different legal systems can make the process challenging and frustrating.
Amenities and Isolation – It Can Get Lonely Out There
After settling into an island life, it can become quickly apparent that such matters as going shopping, visiting a doctor (if one is needed), even communications such as cable/satellite, internet, and telephone service are not things that can be taken for granted. Usually the only ways of transportation to larger cities and towns are by boat or plane. Both of those methods can be impacted by the weather; after all, you are out in the ocean.
While this sense of “getting away from it all” may suit some, there are others who may find the lack of ready access to modern amenities a true drawback. Careful thought should be given to what the “Robinson Crusoe” lifestyle will involve before making a commitment.
A “bucket list” is a collection of places to see and things to do before you die. There are so many once-in-a-lifetime activities to engage in and places to visit throughout Central America that could, literally, fill many bucket lists. Yet there are some that are truly must-see locations and unique adventures that make the Central America Bucket List one that everyone should try and check off.

Kenneth Garcia
The Central America Bucket List – a blend of history, culture, nature, wildlife, and adventure
If you’ve ever wanted to explore ancient ruins, immerse yourself in a totally different culture, stand in awe of a natural piece of beauty, get up close and personal with creatures of the jungle or try something new like zip-lining or deep-sea fishing, you have already created your ownCentral American Bucket list.
The places and activities that are listed below are not in any particular order of importance or priority. All should be seen and experienced regardless and truly appreciated for the wonders that they are; they may even inspire you to create your own list as well.

Tikal, Guatemala
Mayan Ruins – Tulum, Mexico and Tikal, Guatemala
The Mayan Civilization has long held a fascination for many people. Viewing the towering pyramids and intricate ruins can make memories that last a lifetime. Two of the best known locations that embody this vanished culture are the ruins in Tikal, Guatemala and Tulum, Mexico. Separated by only 600 kilometers, these two iconic locations symbolized the height and power of the Mayan culture.
Visiting the imposing Temple of the Jaguar in Tikal or the majestic and well preserved “City of the Sun” in Tulum, Mexico can be an awe-inspiring reminder of how important enjoying each day is and that nothing is eternal. With nearby airport access to both sites, such in the Mayan Riveria, the Central American Bucket List items are ones that everyone should see and experience.

Arenal Volcano
The Arenal Volcano in Costa Rica
Of all the volcanoes throughout Central America, none is more majestic than Volcan Arenal in Costa Rica. Still active (although quiet of late), this imposing and beautiful mountain towers over the surrounding region, including Lake Arenal, at a height of 5,437 feet and is easily accessible from nearby San Jose.

Jugrote
Lake Nicaragua
This is the biggest lake in Central America and the 19th largest in the world. Easily reached from Managua, this fresh water wonder boasts something that most fresh-water bodies of water lack: sharks. The bull sharks of Lake Nicaragua can grow up to 11 feet in length; encountering one of these predators certainly falls under the category of “Well, there’s something you don’t see every day”.

Chadica
Whitewater rafting on the Pacuare River, Costa Rica
Ranked as one of the top ten whitewater rafting locations in the world, the Pacuare River can provide the kind of adrenalin-filled adventure that should be a part of everyone’s bucket list. Combining the stunning beauty of the area with the heart-stopping class III and IV rapids, this river adventure is truly a ride for the ages.

Guillén Pérez
Meet a Mayan Shaman
With all of the recent attention paid to the Mayan Calendar and the mysticism surrounding it, the opportunity to meet and interact with a genuine Mayan Shaman could be a life-changing experience. Practitioners of this ancient spiritual craft can be found in Belize, Honduras and Guatemala and are more than ready to share their wisdom and provide a unique insight in the Mayan World.

Jasperdo
Tour the Panama Canal
Since its completion in 1914, the Panama Canal has been the major waterway between the Pacific and the Atlantic Oceans, fulfilling the dream envisioned for centuries. Modern tours through the Canal provide a special opportunity to view this engineering marvel and follow in the footsteps of explorers from the mists of history who had searched for this passage.

Galapagos Islands, Ecuador
The Galapagos Archipelago
Darwin’s visit to this group of islands, part of modern-day Ecuador, and filled with a vast collection of unique and endemic species, led him to develop his theory of evolution and natural selection. Following Darwin’s path will permit visitors the chance to discover penguins, giant tortoises, and many other creatures that cannot be found anywhere else in the world.

Tony Mendez
Whale watching in Costa Rica
The humpback whales migrate along the Pacific Coast of Costa Rica from between August and October every year. Being able to see these leviathans of the deep in their element is a magical and moving sight and should be a part of every bucket list.

Stephen Johnson
Ambergris Caye – home to the second largest coral reef system in the world
The coral reef along Ambergris Caye, Belize, is second in size only to the Great Barrier Reef in Australia. Being much more accessible than the great “Down Under” this unique and fragile ecosystem is worthy of a special place on the list.

Peace Garden Toucan
Have a toucan on your arm – the Peace Garden at La Paz, Costa Rica
Everyone has seen these colorful, comical birds but have you ever had one on your arm? At the Peace Garden, La Paz, Costa Rica, getting up close and personal with these multi-colored creatures is easier than you might imagine and certainly something that is not an everyday occurrence.

Steven Depolo
Rainforest adventures – zip-lining, hiking, waterfalls, and animals
Central America has wonderful opportunities to visit rainforests throughout the region. Zip-lining, hiking to secluded waterfalls, horseback rides through the jungle and seeing exotic birds, monkeys, sloths, and many other creatures in their natural state makes this a true bucket list item to be experienced and treasured.

Johnathan Nightingale
Monteverde Cloud Forest – home of the Resplendent Quetzal
Perhaps the best know cloud forest in the world, the Monteverde Cloud Forest has a charming and rare resident–the Resplendent Quetzal. Discovering this regal bird in the stunning backdrop of a cloud forest is a special treat that should be included in any bucket list. Stand on the Continental Divide with one foot on the Caribbean side and the other on the Pacific-something that can’t be done any place else.

Ari Bronstein
Deep sea fishing
Have you ever wondered what it would be like to have a blue marlin on the end of your line, fighting you every step of the way? Deep Sea Fishing in Costa can fulfill this “bucket list” wish; tuna, wahoo, sailfish and, or course, the mighty Marlin are all there waiting for the right angler and the right moment–a moment that can be yours.

Steven Gerner
A sea turtle haven – Tortugero, Costa Rica
For the nature lover, visiting the spawning and hatching ground for sea turtles can be a special item on a bucket list. Tortugero, on the Caribbean side of Costa Rica is the place where green, leatherback, and the rare hawkbill turtles can be seen nesting and hatching in the cycle of life. The National Park is also home to jaguars, tapirs, macaws, and monkeys.

Elena G.
The haunted island of San Lucas, Costa Rica
If paranormal investigation is part of your bucket list, the former prison island of San Lucas, Costa Rica will fulfill this desire. Long known as a haunted location, San Lucas has been featured on television and on numerous sites about ghost hunting. Bring your recorders and cameras and see if you can capture the spirits said to still remain there.

Lee Shaver
The Central America Bucket List – getting there is easy
Central America is readily accessible from the U.S. and Europe. Regularly scheduled flights to and from major jumping off points such as San Jose, Costa Rica, Panama City, Panama, Managua, Nicaragua, and Guayaquil, Ecuador–to name but a few–make getting to those bucket list locations convenient and affordable.
There are many tours and travel packages that are available that can be tailored to meet every desire and wallet size. Exploring and experiencing the wonders of Central America has never been easier.
The Central America Bucket List – living there is easy as well
As you explore, check off, and add items on your particular “Central America bucket list” you may discover that the best way to do and see everything is to actually live in Central America. With so many options available–from lots, homes, apartments, condos, and even commercial properties–living in Central America can be a desirable alternative to traveling and can place you in the heart of the experiences and adventures of a lifetime.
Good news if you’re an expat living in Latin America or if you’re thinking about making the jump: safety and security is improving in numerous regions, according to several key criteria. A recent Gallup Law and Order Index looked at local perception of crime in each Latin American nation and found several countries had made big jumps in safety.

Irving Martínez
Why is this particular survey significant?
Because it is based on residents’ personal experience with criminal elements and their feelings about how secure they are in engaging in day-to-day activity. Rather than relying on a third-party assessment, this survey used face-to-face and phone interviews to get down to the local level to see what’s really happening.
The Gallup Law and Order Index examined perceptions from 2013 and compared them to data from 2009. Three main points were considered:
- Confidence in the local police force
- Feeling of safety walking alone at night
- Incidents of property or money stolen from the participant or family member within the last 12 months
So, what did the results show?
Panama is tied at the top as the safest country in the region and went up seven points in its score over the last four years. This should come as no surprise to expats who are already enjoying the pristine beaches and undisturbed jungle of Panama’s more rural areas or to those who have flocked to Panama City, making it a premium retirement destination.
Nicaragua tied with Panama as the safest perceived country in Latin America, up nine points from 2009. Both nations have experienced marked economic growth and a decrease in crime and political violence. Rounding out the top four were Chile (up seven points) and Ecuador.
Ecuador is a fantastic study in what can be accomplished in a relatively short time to both decrease actual crime statistics and boost public opinion about security. President Rafael Correa attributes his nation’s 14-point leap in the Gallup rankings to a three-tiered approach to fighting crime:
- Increased emphasis on arms control
- Widespread judiciary reform
- Improved methods for the capturing of criminals
Ecuador’s new ECU-911 system, implemented in 2012, plays a large part in this. The program coordinates national police, firefighters, armed forces, and transit authorities, as well as other government ministries and organizations, in order to respond immediately to emergencies.

Ana Freitas
The implications are important
The implications of the Gallup Law and Order Index are important not just to your personal safety, but to global economics as well.
Let’s get macro here for a second. A country’s annual gross domestic product (GDP) is basically the sum of what everyone in that country earned in the course of a year or what they spent in a year (those two sums should be about equal). GDP is therefore a primary measure of the health of any nation’s economy.
What happens when crime goes up? GDP goes down. Tourism is reduced, police costs rise, and there is a significant loss of income from incarcerated or otherwise non-participating individuals. Gang-related crime preys on this economic vulnerability, and local businesses suffer. Moreover, foreign investors run the other way, as a bad economy is no place to put their money. The cycle continues, and it can be devastating for a country until they figure out how to turn it around, largely by decreasing crime.

Jurgen Proschinger
That’s all well and good, but what does this mean for you?
If you’re going be investing your hard-earned cash in a foreign economy, you want it to be a stable one where crime is on the downturn and GPD is climbing. This is one of the reasons Panama continues to be so popular right now. It’s been steadily raising its GDP over the last decade and is predicted by the IMF to remain solid.
The Gallup Law and Order Index confirms what many people intuitively feel about crime and macroeconomic growth. Furthermore, the survey’s use of direct contact with the participants lends it a high confidence level (95%) that may not be achievable in other less objective studies conducted by local government or police.
It’s important, too, to look at the overall trends in this survey, rather than just pure rankings. Latin America as a region has improved since 2009. And look at the numbers for Colombia and Costa Rica, for example. Colombia is now perceived as being as safe as Costa Rica. Does that make Costa Rica any less safe? No, it simply points to the strides that Colombia has made in improving its safety and security.
While there are still pocket of violence in Honduras, Guatemala, and Mexico (particularly in the U.S. border regions of the latter), overall things are looking promising for Latin America. Knowing how the locals feel about their personal safety is the first step in addressing crime issues that have far-reaching effects on both the macro- and microeconomic level.
The best Central America hikes are certainly not your average walk in the park. For those who seek the “road less traveled” Central America is the place to visit and explore. Lush jungles, hidden waterfalls, breathtaking mountain vistas and untapped natural beauty make this part of the world a veritable hiker’s dream.

Wood Buildings-Cusuco National Park
Best Central America Hikes – Many Choices from Mild to Wild
You don’t have to be a hard-core experienced trekker to enjoy the wonders of hiking in Central America. There are many options throughout the region ranging from downhill jungle paths to rugged volcano trails and everything in between. The only hard part might be having to make a choice between the wonderful and diverse locations of the best Central America hikes.
Cusuco National Park, Honduras
If hiking along lush jungle paths, seeking out hidden waterfalls, and discovering exotic animals in their natural state sounds like your kind of adventure, then Cusuco National Park in Honduras is certainly the place for you. The primal force of Pulhapanzak Waterfall with its 140 foot drop, the mystery of the Taulabe Caves, and rich biodiversity of the jungle itself make this one of the best Central America hikes.
Chimborazo Circuit, Ecuador
On the other end of the hiking spectrum is Chimborazo Circuit in Ecuador. This multi-day experience along the “avenue of the volcanoes” is home to several peaks above 16,400 feet including mighty Chimborazo whose 20,564 height makes it the farthest point from the Earth’s surface at the Earth’s center.
Camping in tents, exploring glaciers and local villages, and become immersed in the culture and lifestyle of the Andean highlands are just some of the reasons that make this one of the best Central America hikes.

The Quetzal Trail, Panama
The Quetzal Trail, Panama
Panama’s foremost day hiking trail is the Quetzal Trail. Winding through the Volcán Barú National Park along the northeastern side of the volcano, this jungle path is home to its namesake, the stunning Resplendent Quetzal.
The trail is mostly a downhill trek through unspoiled primary jungle from Cerra Punta to the village of Boquete. Travelers can actually have their luggage sent ahead from Cerra Punta to their next lodging in Boquete which is just another feature making this one of the best Central America hikes.

Miguel Vieira
Corcovado National Park, Costa Rica
If true biodiversity is what you are looking for in a hiking experience, the Corcovado National Park in Costa Rica is the perfect destination.
From empty beaches along the Pacific Ocean, lush coastal forests filled with exotic jungle life such as monkeys, sloths, and the elusive jaguar with flocks of scarlet macaws in the trees, Corcovado may be one of the most unique and special hiking locations on Earth. With a ranger station that welcomes campers, Corcovado is clearly one of the best Central America hikes.
Maribos Volcanic Range, Nicaragua
Imagine hiking 21 volcanoes in seven days! The Maribos Volcanic range near Leon, Nicaragua can provide just that kind of adventure. With trails that can vary in difficulty depending on your preference and skill level, the Maribos Range, including the daunting Momotombo Volcano is just the kind of challenge hikers love to embrace, making another of the best Central America hikes.

Arenal Volcano
Arenal Volcano, Costa Rica
For sheer beauty, the Arenal Volcano and the surrounding area in Costa Rica is nearly impossible to beat. With a huge reservoir, a 2900-hectare national park, numerous accessible trails running through cloud and rain forests that surround it, hiking Arenal is definitely a must-do as part of the best Central America hikes.
Lake Atitlan Volcanoes, Guatemala
The three volcanoes that surround Lake Atitlan in Guatemala provide a variety of hiking adventures in one of the most picturesque locations in the world.
The tallest of the three, Atitlan (11,601 ft.) offers an 8 hour trek to a summit that provides a stunning view of the Pacific Coast; San Pedro (9,906 ft.) will allow those who make the 4 hour climb a chance to view and discover plants and animals rarely seen elsewhere; Toliman (10,358 ft.) has a forest area near the summit for camping. Having three different hiking choices in one location is unique among the best Central America hikes.

Monteverde Cloud Forest
Monteverde/St. Elena Cloud Forest Reserve, Costa Rica
No list of the best Central America hikes would be complete without including the Monteverde/St. Elena Cloud Forest Reserve. Filled with numerous trails that are well maintained and easy to navigate, Monteverde offers unparalleled natural beauty, a chance to see flora and fauna that are both unusual and rare including the Resplendent Quetzal. Lodging choices nearby complete a near perfect picture of nature hiking at its finest.
Guanacaste National Park, Belize
This 50 acre preserve is a birdwatcher’s paradise and another of the best Central America hikes. Located in the center of Belize, just 2 miles from the capital city of Belmopan, the small size and easy access makes it convenient for casual nature hikes as well as the opportunity to enjoy both the natural features, in terms of exotic plants and animals, and the cultural aspects of life in Belize today along with its Mayan past.

Brian B.
Pico Bonito Park, Honduras
Meaning ‘beautiful peak”, Pico Bonito is definitely a hike for those with expedition experience and a love of adventure. The over 300 species of birds, jaguars, pumas, and the every present howler monkeys make this journey one that is not easily forgotten and clearly, one of the best Central America hikes.
Pirre Mountain, Panama
The hike to the summit of Pirre Mountain, Panama follows a challenging jungle trail in one of the country’s most remote regions. Monkeys, sloths, exotic birds, and a great collection of trees and flowers make this difficult trek more than worth the effort and certainly worthy of being considered one of the best Central American hikes.
Get Close to the Best Central America Hikes
With some many choices for hiking adventures throughout Central America, the best way to experience them all is to find your own “base camp” to allow you to visit and explore on your schedule. Finding places to live, short term, long term, or even purchase is easier than you might imagine and just a mouse-click away. Let your trek start now!

Andrea Fernández
Ecuador has been earning quite a name for itself as a prime destination for North American expats, due largely to its beautiful scenery, authentic charm, and low cost of living. So much so that many would-be expats may even fear that all of the best places are becoming overpopulated with tourists and gringo settlers.
Well, during my travels through Latin America, I’ve been fortunate to explore hundreds of miles of both developed and completely untouched coastline. And I can honestly say that the beaches in the province of Manabi, Ecuador are a fantastic spot for the pioneering expat.
With its picturesque stretches of beach, quaint little fishing villages, national park, and even a decent-sized city for stocking up on necessities, Manabi, Ecuador, is a refreshing break from some of the overcrowded touristy areas like Salinas and Montanita.
And because much of it is still undeveloped, especially in terms of tourist infrastructure and businesses that cater to expats, it’s currently one of the best places to invest or launch an expat business in Ecuador.
The basics facts about Manabi, Ecuador
Located along the central part of Ecuador’s Pacific coast, Manabi is well-connected to the surrounding areas. It has two domestic airports, as well as an international cargo airport. Transportation in and around the area is easy to come by.
The climate is mostly hot and dry, with temps ranging from the low 70s to the high 80s Fahrenheit, and a wet season that runs from January to April.
The province of Manabi, Ecuador, contains a number of popular beaches, such as Puerto Lopez, Los Frailes, Puerto Rico, Canoa, and Puerto Cayo. There’s also the bustling city of Manta and the town of Bahia de Caraquez which has established itself as a successful eco-city.
The area is famous for its beautiful beaches and coastal cuisine. Favorite dishes include ceviche made from fresh fish, shrimp, or shellfish, as well as viche and sancocho (both delicious forms of fish stew).
Things to do in Manabi
In addition to relaxing on one of the province’s 20 beaches, there are plenty of other things to see and do in Manabi, Ecuador, on both land and sea. Several of the beaches offer decent surfing, as well as wind- or kite-surfing. You can also give paragliding a try or explore the area by sailboat or personal watercraft.
Just off the coast lies La Isla de la Plata, which is home to many of the same species that live in the Galapagos Islands. There’s also Machalilla National Park, which houses numerous types of flora and fauna, including howler and capuchin monkeys, jaguars, cuckoos, falcons, pumas, deer, crocodiles, and anacondas.

Marcelo Paz
Expat living options in Manabi, Ecuador
With so many beach towns and even decent-sized cities in the province, there are a number of possibilities for expats who invest in Ecuador Real Estate in this amazing frontier area. Here are a few of the more popular destinations.
- Ayampe – This is a beautiful beach with great surfing conditions. It also offers birdwatching along the Ayampe river, as well as mountain biking, hiking, and plenty of nature to enjoy. It’s home to several eco-lodges, as well as spas and surf hotels.
- Bahia de Caraquez – Often referred to as simply “Bahia,” this city was once Ecuador’s largest port. After suffering from significant erosion, the town declared itself an eco-city in 1999, putting energy into reforestation and sustainable living. Today it’s extremely eco-friendly and attracts a number of North American expats.
- Canoa – Canoa boasts the longest (17 km) beach in Ecuador, of which only a small portion is developed. It draws expats and tourists for its surfing and nightlife, although it’s still considerably more laid-back than some of the larger beach towns. Due to its party atmosphere, it suffers a bit from littering although the town is taking strides to clean up its act.
- El Matal – The small fishing village of El Matal is located just outside the small town of Jama and, as a result, is known by both names. It offers calm, clear waters that are great for swimming, snorkeling, and skiing. However, there isn’t a lot of tourist infrastructure in place currently, making the area an ideal place to launch a tourism business.
- Las Tunas – This secluded destination offers great views and spectacular sunsets. It’s considered the area’s more romantic getaway, with activities such as horseback riding, beachside candlelit dinners, and quiet nature hikes. It also offers easy access to the national park, as well as the nightlife in some of the surrounding villages.
- Los Frailes – Located within Machalilla National Park, Los Frailes is one of Ecuador’s most beautiful beaches. It’s also sparsely populated, since access is restricted. It’s crescent-shaped with cliffs on both ends, so it’s protected from the wind. The waters are clear and warm and perfect for snorkeling. There are no restaurants, tents, or umbrellas, so plan to bring your own food and shade.
- Manta – Ecuador’s second largest coastal city (after Guayaquil), Manta is an industrial city that revolves around oil distribution and tuna fishing. It has several beaches and a very active nightlife. Despite not being the most beautiful city on Ecuador’s coast, it does play host to large cruise ships that dock in its port. However, most expats consider it better suited for a place to stock up on supplies rather than set up residence.
- Puerto Cayo – What makes Puerto Cayo special is the lush vegetation that runs right down to the sand in some places. It’s near the national park and offers an abundance of fish, as well as some coral for snorkeling and scuba diving. The area’s expat community is growing, and there are several beach developments under construction.
- Puerto Lopez – Since it’s the gateway to the national park, Puerto Lopez attracts its fair share of visitors. It’s a great place to book diving or whale watching tours. It’s also emerging as an ecotourism hub with many of its hotels dedicated to green practices.
- San Clemente – Known for its abundant sunshine (even during the wet season) and gorgeous sunsets, San Clemente is popular among Ecuadorians from Quito and nearby Manta who come for the weekend. Mostly a small fishing village, it’s also seeing the growth of a small expat presence.
- San Mateo – San Mateo is known for its world-class surf break suitable for the most experienced surfers. It also has a small bay that’s sheltered from the wind and perfect for swimming or beginner surfing. Its recently constructed harbor is being developed into a fishing port.
- Santa Marianita – Due to its broad and long beach, this destination is a popular place for kite surfing. Its wind range and wave height also make it great for windsurfing. It also offers a good beach break for beginning surfers. You can find instructors to teach you these and other sports, as well as a few hotels and restaurants.
The province of Manabi, Ecuador, offers plenty of living options and more than enough to keep you busy. It just doesn’t suffer from the same overcrowding and expat saturation as some of its Ecuadorian competitors.
If you’re looking to stake your claim in one of Ecuador’s lesser-known beach towns, then check out one of these great emerging destinations.
Map of Manabi, Ecuador
Manabi, Ecuador Fast Facts
- Population: 1,606,655
- Typical temperature: 76º F to 90º F.
- Major airports with U.S. flights: Quito, Cuenca and Guayaquil. Complete list of airports in Ecuador.
- Nearest U.S. consulate: Quito

Viva Tropical Radio
This week I talked to Phil Flanagan, world traveler and overland expert. Phil sourced and converted a European van to travel the world for less than $18,000 USD. He then proceeded to drive across Europe, Asia, North America, then South America for the ensuing 5-6 years.
In this episode Phil teaches you how to do it too, where to find a car, and his minimalistic approach to maximum travel experience. Phil and partner Angie were able to to travel this way for $50 a day, including food for both of them, maintenance, gas, and everything else.

Phil and Angie in Kyrgysztan
In this episode, we discuss:
- How to build your own overland vehicle for only $18,000 USD
- Learn what vans make the best choices
- What to consider before you buy your overland vehicle
- How to avoid the “extortion highway” in Honduras
- The incredible rewards just waiting for you on the road
And much more.
Listen to the show
You can listen to the show using the player above or grab it and listen on the go via one of the following options:
- Click here to download the mp3
- Click here to subscribe via iTunes
- Click here for the RSS feed (non iTunes)
- Click here for the show archive
The Show Notes
Phil Flanagan has his own travel site that you can see here
Ecuador stands out as one of the leading Latin American countries in terms of health care opportunities. Though there is occasionally a rift between regulations and reality, the country constantly seeks to improve its current policies; the constitution itself guarantees the right to health care! Several different options for coverage are available to expats relocating to Ecuador.

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Option 1: Go Public
For four decades, Ecuador’s public health care options received generally critical reviews from its constituents. However, in 2008, the government decided to give the system a makeover and between 2000 and 2014 the country jumped from 111th on the world’s list of “countries with most efficient health care” to 20th. Meanwhile, the US currently sits at the 46th spot on the list. Public insurance is handled through the Social Security Administration (IESS).
How Does It Work?
Those that participate in the public health care system will enjoy all medical procedures, screenings, and medications completely free of charge. Clinics require that affiliates schedule routine visits by phone, and emergency needs will be fulfilled by the nearest hospital. When a hospital is unable to perform the procedure required, the state will transfer the patient to a capable private hospital, and cover all charges.
IESS-Yes: Becoming a Member
No one is automatically enrolled in the program; they must physically visit the office and register to become a member. As long as payments are met, members will remain in good status until the end of their lives. Applicants that are older than 65 will not be considered for acceptance. The monthly cost is adjusted as needed so that it reflects 21.5% of the average wage, which right now sits at about $60/month.
The Downside
Though virtually unlimited free health care sounds great at first, a large number of residents have taken advantage of it, resulting in very long lines and scaled-back service. In addition, public facilities often do not receive enough funds and have to redirect patients requiring more expensive treatments. Finally, since health care professionals’ salaries are regulated by the government and not dependent upon their patient base, some have neglected to improve their practice or become specialists.

Municipio Pinas Ecuador
Option 2: Private Insurance
While Ecuador has a multitude of private carriers that currently operate in it, such as Confiamed, Salud, and Años Dorados, they are less often used than the public system. Still, shoppers have a little more customizability with these options. For example, Salud offers tiers of plans: level 1 has the most basic form of coverage with a low monthly fee and higher deductibles.
The coverage options extend all the way up to level 7, which includes private hospital rooms, a life insurance policy, and a cancer rider. Cuenca News conducted a survey of Ecuadorians regarding their insurance coverage that contains a wealth of testimonials useful in distinguishing among plans.
How Much Will I Pay?
Of course, premiums will vary a great deal depending on what the plan covers. On the low end, a company called Coopera offers a monthly fee under $3.00, but all medical purchases will have some amount covered by the purchaser. Salud, Latin America’s largest insurance company that was mentioned earlier, gives us a more representative example. The average 60-year-old man may expect to pay between $70 and $100 for a middle-grade plan. A comparable plan in the United States would cost over 10 times that amount!
Is Coverage Guaranteed?
In Ecuador pre-existing conditions are considered just as they are in the United States, and private insurers reserve the right to deny coverage based on them. In addition, most require applicants to be under 70 years of age. However, there are still more companies that will cover expenses resulting from pre-existing conditions!
Option 3: Who Needs Insurance?
Many local Ecuadorians choose not to enroll in any insurance programs. They pay out-of-pocket for all required procedures and are content doing so. As is always the case, patients must demonstrate the ability to cover their charges before admission; for non-subscribers, this basically means handing them a credit card or cash instead of an insurance card.
Self-insurance might be a good idea, and can be done by allocating a bit of money each month to cover any health expenses. It is safe to say that most expats in Ecuador choose not to have either health insurance option simply because the costs are so much lower. In many larger cities, alternative health care options, such as homeopathic and naturopathic medicine, are also in place.
Present, But Not Prolific
Ecuador has quality health care, but remember that it does not exist everywhere. Smaller areas may have a limited scope of capabilities or minimal stock of fairly simple items like crutches. Still, they should be able to handle regular care and minor issues. Larger cities, on the other hand, will have exponentially more traffic traveling through their doors and may not be able to see you unless it is an emergency. The benefit of those areas is their more modern facilities and training. Potential expats should self-assess their current medical state to determine which region of the country, if any, is right for them.
Potential Regional Medical Issues
Immunizations play a major role in ensuring a family’s health as they travel to Ecuador. The most important are for tetanus, hepatitis A and B, typhus, yellow fever, diphtheria, rabies, and pertussis. Insects present the most danger to those that have not developed any resistances to their diseases.
But don’t worry too much; despite the fact that most regions have year-round malaria risks, there are only 686 cases per 100,000 residents. Dengue, also carried by mosquitos, is a concern as well. The main defense against these pests is a combination of well-covering, bright attire and copious amounts of repellant on exposed skin.
What Have We Learned?
Ecuador makes for a great place to retire, in large part thanks to its stellar health care system. All coverage options are equally viable for expats, and should be determined on a case-by-case basis for each person depending on his or her needs and budget. Tell us which one you would pick in the comments section below!
Ecuador has been under the expat radar in recent years, being overshadowed by Costa Rica, Panama, and Belize, to name a few. But the potential that is springing up in this South American location now makes this more than just a stopover for the Galapagos or the jumping off point for adventure expeditions to locales such as Vilcabamba. This dynamic growth is on full display in the economic center of Guayaquil, Ecuador.

Wikimedia
Guayaquil – Ecuador’s Financial Machine
Long recognized as the business and commercial hub of Ecuador, as well as being the largest city, Guayaquil is now coming into its own as a desirable location for expats looking for investment potential as well as a diverse and exciting lifestyle.
The competition between Guayaquil and the capital, Quito, mirrors the dynamic friction between those two American cultural and polar opposites – New York City and Los Angeles.
Just as New York is considered the financial and business center and Los Angeles the arts and entertainment mecca of the U.S., the financial engine of Guayaquil contrasts with the cultural highlights of Quito, the capital. For native Ecuadorians this contrast can be summed up in a local saying: “The money is made in Guayaquil and spent in Quito.”

Johnny Chunga
Bolivar, San Martin, and Pirates – A Brief History of Guayaquil Ecuador
Although formally established by the conquistador Francisco de Orellana as “the Most Noble and Most Loyal City of St. James of Guayaquil” on July 25th, 1538, Guayaquil had existed as an indigenous settlement for some time previous. As part of the Viceroyalty of New Granada (including all of what is now Ecuador, Panama, Venezuela and Colombia), the city grew from a population of roughly 2000 in 1600 to over 10,000 a hundred years later.
The battle for territory and wealth in the New World swept over Guayaquil – known even then as a valuable port of call. French and English pirates attacked and looted the city in 1687 and again in 1709, this time under the command of William Dampier. Although hoping for ransom, Dampier’s men left the city after an outbreak of yellow fever threatened them.
In 1820, local citizens backed by members of a battalion stationed in Guayaquil removed Spanish royalists and declared independence from Spain. This independence was to be short lived as both Peru and Colombia desired this strategic and economic location to be part of their own emerging nations.
It was this set of competing interests that lead the two leaders of South American independence, Bolivar and San Martin to meet in 1822 and decide that Guayaquil should be part of Bolivar’s “Gran Colombia.” To this day, many Guayaquil residents view Bolivar, not as a hero, but as a traitor, who made them give up their independence in exchange for being part of his vision of a unified South America.
Bolivar’s vision did not have a long lifespan however and, in 1830, Ecuador left Gran Colombia to become an independent nation taking with it the cities of Quito, Cuenca, and the thriving and growing port of Guayaquil.
Colonial Ambiance Meets Modern Vision
As Guayaquil has continued to expand both in terms of business and population a conscious effort by local officials to make it an attractive destination for expats and tourists as well as providing investment opportunities has transformed this metropolis from the colonial bastion that it had been to a 21st century destination.
With a population in 2010 of 2,278,691 (per El Instituto Nacional de Estadística y Censos del Ecuador) – or roughly 16% of total Ecuadorian citizens – Guayaquil is meeting the challenges of the 21st century. Not surprisingly, this has resulted in Guayaquil being on the “short list” of many potential expats and those looking to invest in new and growing areas.
Just Like New York City? Almost. Well, Sort of.
Like its North American counterpart New York City, there are pockets of poverty within the affluence. Nonetheless the growth and development that have been experienced since the late 1990s continue to transform this diverse and vibrant metropolis into an important South American hub and destination for those looking to find new avenues for investments or a change of lifestyle. Here are just some of the most interesting and exciting neighborhoods and attractions.
Las Peñas
This is the traditional barrio that has been largely restored to reflect the classic Spanish Colonial style of the city. As a part of the original Spanish settlement, the cobblestone streets, multicolored houses and mysterious hidden courtyards and gardens harken you back to a more romantic time.
Las Peñas is also the location for the most prominent tourist site in the city-the Cerro Santa Ana. The 444 steps up to the top of the hill are filled with a variety of artisans, shops, restaurants, and cafes.
Once you have arrived at the summit you are greeted by the Faro de Santa Ana – a 59 foot lighthouse and the Naval Museum; the latter contains some of the cannon used to defend the city from pirate attacks in times past.
Malecón 2000
Perhaps one of the most ambitious restoration projects through South and Central America, this was the brainchild of the former president of Ecuador, León Febres-Cordero Ribadeneyra whose vision was to revitalize the commercial district of Guayaquil as a place that could be enjoyed by visitors while retaining the dynamic functionality of a 21st century business center.
The Donors’ Pavilion marks the contributions made by Ecuadorians to the revitalization of the country’s largest city and acts as a kind of center point to the entire project. Next to the Pavilion is South America’s first IMAX theater, aptly named the Malecon 2000.
Along the 2.5 kilometer stretch of boardwalk, visitors can enjoy a variety of open spaces, restaurants, shops and the Chamber Rotunda, playgrounds and rest areas and the Jardines del Malecón whose multicolored floral displays have become a source of pride and delight to both locals and visitors who experience Guayaquil’s resurgence and transformation from a Spanish shipping hub to a vibrant and prosperous community fit for the 21st century and beyond.
The Museo Antropológico y de Arte Contemporáneo can be found at the end of the river walk and is an excellent place for a first time visitor to be exposed to fine examples of Ecuadorian art and gain an understanding of the unique social history of this South American jewel.
Parque de las Iguanas
The actual name of the park is Parque Bolivar (also known as Parque Seminario) but for reasons that become immediately obvious to anyone visiting it, “park of the iguanas” is certainly an appropriate nickname. This may well be the only location in a major city where these land lizards, some of which can be more than three feet in length, reside in abundance. Ironically, some of the best hotels in the city surround the park. On the west side, the Municipal Museum is home to ancient Incan relics from one of the earliest cultural groups that inhabited what is now Ecuador, the Valdiva tribe.
The Galapagos
Guayaquil has long been known as the jumping-off point for tours to the Galapagos archipelago. There are a wide selection of tours and tour operators that offer an opportunity to visit one of the most unique and naturally diverse locations on Earth. Having this kind of access to the land of Darwin makes conducting your own explorations both convenient and more affordable.
Expats Have Lots of Living and Employment Options
For those considering Guayaquil as a potential location to retire or move to, it is important to keep in mind that like its North American counterpart, New York City, this is a textbook example of big city living. Obviously prices in the better parts of the city are significantly higher than those outside the city center. Are you moving with a family? Retiring? Relocating for work? These are all questions that should factor into your choice along with budget and security.
Find Your Home
The first, best piece of advice is to do your homework; talk to expats, check online social media sites i.e. Facebook, Twitter to find others who have already completed the journey. Talking to realtors is also important as these individuals have experience answering just the kinds of questions you might ask and, even more importantly, anticipating the ones you might forget.
Some of the communities favored by expats are Samborondon, Los Ceibos, and Via La Costa. While these are all a short distance outside the city center, the types of housing offered mirrors that which is found in the States. The types of housing is mixed with multi-unit structures (apartments, condos) outnumbering standalone houses. Prices vary and depend on the amenities included as well as the size of the unit.
If you are considering buying property, there is definitely a learning curve. While non-Ecuadorians have the same right to buy land and property, the process is different from what you may be used to. This is most definitely an area that you should research before signing on the proverbial dotted line.
Finding a Source of Income
With Guayaquil’s continued growth many American and European businesses are setting up operations and are in need of staff. Ecuador, unlike many other South American countries, has made it much easier for expats to find employment. All that is required for a work visa is a letter from the perspective employer stating the reasons that they are contracting your services and your importance to the company. This is usually done in the Ecuadorian consulate in your home country. Generally, your first employment contract is three months in length.
As business continues to flourish it can be expected that, as the principal economic center in the country, Guayaquil will be at the forefront of creating jobs and in providing opportunities for those who are looking for new horizons while staying with their current employers. The need for skilled personnel by Ecuadorian companies is also increasing and has created a favorable environment for individuals with those skills who are not residents.
Retirement
In recent years, both Central and South America have seen an increase in the number of retirees, primarily from the U.S., who are relocating for both the difference in lifestyle and the lower cost of living. A number of recent surveys report that most retired couples are living comfortably for under $2000 per month. Significantly lower property taxes, cheaper medical costs, lower rents and entertainment expenses all contribute to the desirability of retiring here.
The unique part of Guayaquil, from the retiree’s perspective is the accessibility to most of the modern conveniences of stateside living. Cell phone and wifi services are plentiful and, with the growth of expat communities in and around the city center, the number of opportunities for social and cultural events is also increasing.
Guayaquil in a Nutshell
From an ancient Valdiva settlement, to a Spanish shipping port, to becoming the economic engine that powers the growth and development of Ecuador, Guayaquil’s history can be summed up in a single word: Potential. At each step in its long and colorful history this South American port of call has continued to advance and move towards the future while maintaining a close connection with its heritage.
As a 21st century destination, Guayaquil can truly be viewed as the “Big Apple” of Ecuador, and with its blend of revitalization, economic dynamism, and cultural diversity, this city is well placed to become an important destination of choice for expats, retirees, and businesses alike. In a very real sense, Guayaquil’s promise for tomorrow is as rich and colorful as the flowers of Jardines del Malecón.
Map of Guayaquil, Ecuador
Guayaquil, Ecuador Fast Facts
- Population: 2.27 million
- Typical temperature: Ecuador is known for its micro climates.
- Major airports with U.S. flights: Quito, Cuenca, and Guayaquil. Complete list of airports in Ecuador.
- Nearest U.S. consulate: Guayaquil
If the boho vibe and nonstop partying in Montanita leave you searching for a little tranquility, then look no further than Olon, Ecuador.
This serene oasis off the central coast of Ecuador is just a few kilometers down the road from Montanita, and a two and a half hour drive from the metropolis of Guayaquil.

Johny chung
Olon affords travelers and expats alike the chance to bask in Ecuador’s natural beauty while experiencing the easy pace of the beachcomber’s lifestyle; many even choose to call Ecuador home and invest in Ecuador Real Estate.
Olon, Ecuador is located off the Santa Elena peninsula, which sits right in the center of Ecuador’s coastline. It is the westernmost land area in the country and contains some of the most famous surfable beaches in South America. People don’t just travel to Olon and Santa Elena to surf however, as you’ll see when you read on.

Johnny Chunga
What to Expect on Arrival
If it’s your first time to Olon, Ecuador, don’t expect to find an overdeveloped resort community like you’d encounter off the coast of say, Florida or southern California. While those types of areas offer their own perks, they can’t beat Olon Beach in terms of undisturbed natural beauty. Once a well-kept secret enjoyed by Guayaquil professionals and Latin American retirees, Olon today is home to many expats from the world over.
The small town sports a coastline of charming and refreshingly simple bungalows and hostels for locals and travelers alike. There are a handful of restaurants, a malecon (more on that later) and a stunning nature preserve to the north, and that’s about it.

Johnny Chunga
There Is Lots to Do in Olon, Ecuador
Despite the town’s sleepy appearance, there are actually plenty of activities available to pass the time in Olon Beach. Many people enjoy surfing the waves, hiking to nearby waterfalls, or just taking a dip in the cool waters. Lifeguards are on duty during summers and events to help keep you safe in the water.
If sports are not really your thing, don’t fret; Olon also offers plenty more relaxing fare. Many residents enjoy animal watching near the water, where exotic birds and reptiles can often be seen in their natural habitat.
If you’ve only ever seen these beautiful creatures in zoos or in pictures, then there is no comparison. You can also enjoy whale watching from the shore, where migrating humpback whales have been known to approach. Some even report spotting wild horses galloping across the sand! What a treat!
The malecon, or boardwalk, sits on the beach and features a recently refurbished red brick esplanade for leisurely walks on the beach, among other activities. There are several restaurants and other attractions lining the malecon, including public restrooms.
Amateur and professional photography buffs alike will appreciate Olon, Ecuador’s soothing vistas, pristine beaches, and unforgettable sunsets. You might even be able to snap a pic of the majestic humpback whales we discussed earlier!

Johnny Chunga
You’ll Be in Good Company
Are you thinking right about now that Olon Beach sounds like a retiree’s dream? You wouldn’t be alone. The international community in Olon includes many investors, businessmen, and retired citizens who saw the potential to get more bang for their buck in Olon Beach.
While property near the beach can cost more than other comparable coastal areas in the country, it is still an affordable option for many. The quality of life is what really counts here, as the restful pace and incomparable surroundings contribute more to Olon residents’ happiness than their “bottom line”.

Yassef Briceño García
If It’s Not in Olon, Ecuador, Just Drive Down the Road
There are a few things you should know before checking out or even settling down in Olon, Ecuador. For one, if you’re looking for anything beyond a dinner out or a few souvenirs to send home to your grandkids, you may have to travel a bit outside of Olon Beach to find it.
This means groceries, toiletries, and any other living essentials you might need. Most residents choose to travel up the road to the much more established Montanita to do their weekly shopping.
For many this can be a big lifestyle change, especially if you’re coming from life in the United States where unless you live in farmland, most “convenience” stores are at most a few minutes’ drive away. Expect to travel a bit up the road for other modern necessities as well, such as managing finances or shopping for new clothes.
Another aspect of life in Olon, Ecuador to consider is whether you want to go through the hassle of driving a vehicle around town.
Olon is a prized destination in Ecuador; the beauty and serenity of the area that initially brought you to the coast will invariably draw crowds during the high season as well.
Because Olon, Ecuador is such a small community, parking becomes scarce during these times. What’s more, it is not uncommon to see those large travel “coaches” loading and unloading right next to the beach on a regular basis. These oversized buses can halt traffic close to the water, so avoid them at all costs if you’re in a car.
There are plenty of other ways to get around Olon, as most of the town’s attractions are very close to one another. In most cases you can easily get around with a bicycle or motorized scooter.
Of course, it never hurts to simply walk around and take in the sights while you reach your destination! However, keep in mind that these towns are quite isolated from the rest of Ecuador. You will want to have a decent car (and be prepared to drive it quite a ways) in order to reach a proper city.
Is Olon, Ecuador Right for You?
We hope you’ve enjoyed this overview of the natural beauty and relaxing lifestyle available in Olon, Ecuador. From the wild horses to the pristine waters, the breathtaking waterfalls to the unforgettable sunsets, Olon offers tourists and expats an enriching environment and an enviable lifestyle that’s more accessible than you might think. One thing’s for sure; you won’t find anywhere else quite like it.
Map of Olon, Ecuador
Olon, Ecuador Fast Facts
- Population: 25,000+
- Typical temperature: Ecuador is known for its micro climates.
- Major airports with U.S. flights: Quito, Cuenca and Guayaquil. Complete list of airports in Ecuador.
- Nearest U.S. consulate: Quito, Ecuador
It is no small wonder that Ecuador was recently named the second most retirement-friendly country on the planet.
With top of the line medical facilities, low procedure costs (only 7-10% of the cost of similar procedures in the U.S. and Europe according to Ecuador’s Investment Corporation), and a Ministry of Public Health avidly focused on continually improving the quality of public and private medical care within its borders: Ecuador has become one of the most well-praised medical tourism destinations for retirees and visitors alike.
But before you book your medical visit abroad, start buying property, or get your Ecuador visa, it’s a good idea to take a deeper glimpse at the medical system you’re about to jump into, and what your expat or visitor status means in a country with a well-rounded national health system, a myriad of admired private and specialist hospitals, and a widespread network of local rural clinics.
The most important thing to consider is location. The majority of significant facilities are located in the three largest cities in Ecuador: Guayaquil, Quito, and Cuenca.
If you suspect you’ll be needing high-tech treatment frequently you might want to stay close to these centers. The rural clinics, though well-lauded for their well-trained staff and the pleasantness of the visit, often have less equipment and fewer staff fluent in English.

Mount Sinai
But that doesn’t mean the urban centers will be any less personal than a local clinic—Ecuador’s hospitals are known as bastions of personalized and amiable care at more than reasonable costs.
In fact, on an international scale, the Ecuador health system was ranked in the top 20 of efficient healthcare systems by the most recent Bloomberg analysis of World Health Organization (WHO) information—a rapid rise up, given that in 2011 Ecuador only ranked 111th on similar scales.
Here’s a quick guide to some of the most well-noted hospitals in Ecuador to expand on the basic information the U.S. Embassy doles out regarding your expat and tourist healthcare choices in Ecuador.

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Hospital Alcivar, Guayaquil, Ecuador
Up first is the Hospital Alcivar. The most well-respected and oldest continual hospital in Ecuador, it was founded in 1937 and has continued operating since its inception.
Located in Ecuador’s largest city, Guayaquil, the once small clinic morphed over the past century from being a small specialized orthopedics service to one of the largest and most modern facilities in the country, focusing on a wide array of medical treatments.
Though the hospital has expanded significantly, its orthopedic services remain as one of the best regarded in all of South America.
With the most developed post-graduate medical training program in Ecuador, the hospital Alcivar is also the home of Ecuador’s internationally respected premiere medical journal Actas Médicas, which was founded by its former director Dr. Eduardo Alcívar Andretta.
It has 140 prestigious doctors, a staff of 700+, its own theme song (the aptly named Hymn to Hospital Alcivar), and handles everything from trauma to rehabilitative services, including Neurosurgery, Cardiology, Pediatrics, and Obstetrics. Hospital Alcivar is located close to the commercial center of the city and is within ten minutes of the city’s airports.

Dario
Hospital Metropolitano de Ecuador, Quito, Ecuador
Hospital Metropolitano is the most famous hospital in Ecuador. Located in the capital city of Quito, it was founded in 1985 with support from American Medical International (AMI). It is arguably the most technologically and procedurally progressive hospital in the country.
In addition to its bevy of cutting-edge equipment for medical visualization, intensive procedures, and patient monitoring, it is well-known for performing the most difficult types of surgeries (open heart, spine, brain surgery, etc.) and frequently collaborates with well-recognized American medical institutions like the Mayo Clinic and Mount Sinai Hospital.
Hospital Metropolitano is a teaching hospital which trains a huge majority of the doctors of Ecuador as well as international students. It has one of the largest and most well-run emergency rooms in the city.
And in conjunction with the Metrofraternidad Foundation, Hospital Metropolitano is noted for its social work and has special programs which provide its already reasonably priced services as no-cost medical care for the city’s poor.

Hospitalario Kennedy
Grupo Hospitalario Kennedy Hospital/Clinica Kennedy, Guayaquil, Ecuador
Back in Guayaquil, you also have the choice of visiting the smaller Clinica Kennedy, one of the Grupo Hospitalario Kennedy’s many hospitals.
Founded in 1978, Clinica Kennedy is a university hospital with a special emphasis on medical visualization technologies and integrated digital medical record services, in addition to programs devoted to in-vitro fertilization, stem cell research, and molecular biology.
With a staff of over 250 staff medical specialists and only 125 hospital beds, the care offered in its emergency and trauma units, clinical laboratory, diagnostic center, intensive care unit, neonatal intensive care, and cardiopulmonary unit is personal and devoted.

Junta de Beneficencia de Guayaquil
Hospital de Niños Dr. Roberto Gilbert Elizalde, Guayaquil, Ecuador
The fourth highest ranked on our list is Ecuador’s premiere children’s hospital: the Hospital de Niños Roberto Gilbert Elizalde. Also a teaching hospital, it focuses in-depth on all aspects of pediatrics.
It provides medical care at several levels and possesses both regular facilities and specialized private facilities for the children of wealthier clients. The hospital uses the cost of their fancier areas to offset the cost of the cheaper but still nice general facilities.
With historic claims back to a nineteenth century clinic at a different site, the Hospital de Niños Roberto Gilbert Elizalde is arguably the oldest hospital on our list. However its current building was finished in 1999 and opened in 2000 to much acclaim.

salud de Ecuador
Hospital Eugenio Espejo, Quito, Ecuador
With the best google reviews (all of our entries have over 4 stars, but at 4.5 this hospital has the populist vote), the fifth entry on our list is back in the capital of Quito.
Built in 1912 at the behest of the national government, Hospital Eugenio Espejo is the premiere national hospital of Ecuador and is the epicenter for the Ecuadorian national health policy and medical education. It features the most comprehensive array of general medical practices, including:
- Transplant services
- Service of infectious diseases
- Orthotic and prosthetic workshops
- A service unit of comprehensive care for the elderly
- Rheumatology
- Imaging services
- Clinical neurology
- Internal medicine
- Physical medicine and rehabilitation
- Clinical laboratory and pathology
- Immunology
- Hematology services
- Emergency services
- Epidemiology services
- Coloproctology services
Don’t Worry, Ecuador Has Quality Dental Care Too
Unlike the other entries on the list, Hospital Eugenio Espejo should be especially noted for offering dental services.
Contrary to conceptions of concern regarding dental service outside the United States, Ecuador is particularly well noted for its excellent dental services. Featuring highly trained dentists and dental hygienists, dental clinics in Ecuador are well reviewed for utilizing the most cutting edge dental technologies and their exceptional performance of procedures at a fraction of the cost of similar work in the United States.

Voz Andes
There Are Many Hospitals to Choose from, Even If They Didn’t Make Our List
Also in Quito is the missionary general Hospital Voz Andes. A cozy 104-bed hospital, it was founded in 1955 by the Catholic Ecuadorian-founded enterprise HCJB Global Hands.
With a well-equipped twenty-four hour emergency room, it handles trauma cases, but it is particularly noted for the rehabilitative care of its physical, occupation, and speech therapy programs and its mental health counseling services.
Though none of Ecuador’s third largest city, Cuenca, made the top five list, there are several well deserved honorable mentions. And as medical tourism rises in the region, it is very likely that these already fine establishments will only continue to accrue further and further medical accolades and reviews.
Hospital Universitario del Rio
This hospital is Cuenca’s newest and fanciest hospital. Opened in 2009, it is a mixture of state-of-the-art technology, spacious rooms, and customer service. Located on the edge of Cuenca, it too, is a teaching hospital whose academic profile is rapidly climbing the ranks of the international medical community.
It features a clinical laboratory, microbiology laboratory, retail pharmacy, as well as units devoted to gastroenterology, adult intensive care, surgery, neonatal intensive care, and pediatric intensive care, among others.
Hospital Santa Inés
In the center of Cuenca is the Hospital Santa Inés (or St. Agnes). The Hospital of Santa Inés is a smaller hospital than the Hospital Universitario del Rio, but as it is located proximally to the University of Cuenca and the parts of town where the majority of expats live—it is much closer and easier to get to its emergency room.
Though smaller, Hospital Santa Inés still features seven floors filled with state-of-the-art medical equipment, well-trained staff, and a well-organized ambulance service.
Hospital Mt. Sinai
The oldest Cuenca hospital, the Hospital Mt. Sinai falls between its two sister medical facilities in the city—like the Hosptal Universitario del Rio it is large. In fact, it is based in several buildings, including several modern ones. But its emergency service department is smaller than that at Hospital Santa Inés.

Udri
Medical Tourism in Ecuador
In addition to Ecuador’s well reputed and affordable hospital services, the reasonably priced retirement facilities, rehabilitative training programs, and homeopathic medical communities contribute to Ecuador’s status as a medical tourism destination.
The Ecuadorian government seems committed to providing national healthcare at international standards to citizens and visitors alike, going so far as to recently raise its government health budget and to favorably handle recent debts incurred by private hospitals in the nation.
And with such an emphasis, it seems likely that Ecuador’s health system will only thrive further, extending its top-notch urban care out further into the countryside.
Before you settle down in Ecuador, research your current and speculative health needs thoroughly and make sure you are near to the kind of medical service you might require.
Editor’s Note: The rankings are determined by the Cybermetrics lab of the National Research Council in Spain (Consejo Superior de Investigaciones Científicas (CSIC) which is devoted to identifying the best international digital presences of world hospitals and augmented by expat opinions and reviews.
If you are in Ecuador, reading this, and currently experiencing a medical emergency, you can call an ambulance at 911, the Red Cross at 131, the local police at 101, and if in Quito, the Quito Fire Department at 102.