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The cost for food, clothing, transportation and entertainment in So Paulo for a single person is at least $600. I was reading about the cities and found a mistake in the writing. Here, youll find big shopping malls and even some biking trails, making it a good spot for chilled days off out of the busy city. Necessary cookies are absolutely essential for the website to function properly. The beaches are nearly empty and many of the restaurants are closed except during holiday weekends when everything springs to life. The Andes Mountain Range runs through the center of Ecuador from north to south with the Amazon rainforest to the east and the Pacific coastal region to the west. Its beautiful rivers, valleys, mountains and beaches beckon tourists and expats. Accordingly, its here where youll find charming colonial-era streets and plenty of historic buildings to marvel at. My personal experience is with Quito and I will share some insight. 42.6% of households. 2.5 #4 Cuenca, a Small Town. The city also has an airport, but most flights go to Quito or Guayaquil. Located on the western shores of the Rio de la Plata, the city is beautiful, productive and high in quality of life. After decades of harm caused by humans and invasive species, the Royal Palm Galapagos is providing a sanctuary for the archipelago's most vulnerable flora. Click to enable/disable Google reCaptcha. Most tourists visit Manta for the water sports, including surfing and boating adventures. It is well connected with other destinations by bus and plane. Cuenca, Ecuador, is a spectacular city that's famous for its late sixteenth-century Spanish-style architecture. While the mountain cities in Ecuador are known as the land of eternal spring, its always summer in Guayaquil. Combine this with a coastline strung with beaches, delicious food, and friendly people, and its an attractive destination. Cotacachi is located a short drive off the main highway between Otavalo and Ibarra. Despite all that history, there is more modernity in Quito than you may be expecting. An elevator was created in 1873 to connect the two towns. With gorgeous historical architecture (including an astonishing 52 churches), fewer crowds than Quito, and limited pollution, it's no wonder that expats are considering this Ecuadorian gem as a possible retirement spot. The city is a commercial and cultural hub. 1 Best Cities in Ecuador. And it's not as though their MLS players have star billing either. Want to be an expat? Guayaquil also boasts some of South Americas top hospitals with every type of medical service you would find in the US, but at a fraction of the cost. Although Montevideo is the center of Uruguays government and industry sectors, the coastal city has a laid back atmosphere. What is the richest part of Ecuador? Its a sparsely populated valley that is going to suit anybody who really wants an adventure in a far-flung part of Ecuador. Not surprisingly, Quito has some cool coworking spots to check out. Lima is located in the central coastal region of Peru, 20 Cities with The Worst Weather in Europe, How Zac Stacy Achieved a Net Worth of $6 Million. Santiago, Chile, is known for its economic wealth as well as its rich and vibrant culture and history. Yeah they are. This site uses Akismet to reduce spam. Colonialization and immigration has created a multicultural city. Its also a short 45 minute domestic flight to both Cuenca and Guayaquil. In addition to rent, a couple can expect to spend $100 a month on transportation, $800 a month on food and $400 a month on entertainment. The region's 198 large citiesdefined as having populations of 200,000 or moretogether contribute over 60 percent of GDP today. Loja: Best Ecuador city to get off the beaten tourist path. According to, Read More The 10 Worst Neighborhoods in DetroitContinue. Its a 5 minute, $1.50 cab ride north along Olns MASSIVE beach that stretches 5 miles (8 kilometers) north to La Entrada. What is the wealthiest city in Ecuador? Walking down the street, youll spot Papaya, Guanabana (Soursop), Lime, Naranja, and a host of other tropical fruit trees and tropical birds sitting in them. If you have serious or chronic health conditions, you may want to consider a more developed Ecuador beach town. Many expats who live in the Amazon region actually live outside the cities on rural farms or forest land rather than in cities. By continuing to browse the site, you are agreeing to our use of cookies. How does your net worth compare to the fortunes of. The city also has 150 monuments. The 14-year study identified more than 2,800 individual giant manta rays in Ecuador- more than any other study to date. Medellin draws in tourists with its museums, architecture and festivals. Industry in Rosario includes agriculture and chemicals. Tena is also home to a new IESS hospital as of late 2018 so youll have better access to medical services than most of the other smaller Ecuadorian cities. Chile ranked second, registering a GNI of 15,000 U.S. dollars. With 17 times more space than New York Citys Central Park, its a popular place to visit for Quitos residents and tourists. The most expensive cities in Ecuador are Cuenca, Guayaquil, . Located in San Mateo County, the city has the best restaurants, parks, shops, and most importantly, an excellent schooling systemno wonder most affluent families choose to settle down in this wealthy town. Nearest International Airport: Guayaquil (30 minute flight; 5 hour drive) or Quito (40 minute flight; 7 hour drive), Nearest US Consulate: US Consulate in Guayaquilor US Embassy in Quito. Around 600 miles from the coast of Ecuador, it goes without saying that the Galapagos Islands are a bucket list destination. The capital and largest city in Columbia is also the most expensive to live in. Ibarra is the largest of the three cities with 140,000 people, making it less than half the size of Cuenca. Its a historical gem of a place that has a UNESCO-recognised centre, awash with culture and entertainment options. With a metro area spanning a thousand square miles and a population of around three million people, Guayaquil is certainly on the rise and has grown rapidly over the decades. In many cases, people want to find somewhere that is affordable. The population of Paris is about 2.2 million people. https://liveabroadnow.com/wp-content/uploads/2020/06/Ibarra-Ecuador.jpg, https://liveabroadnow.com/wp-content/uploads/2022/11/LAN-Logo-v1-300x180.png, Best Cities to Live in Ecuador for Expats, Amelia and I visited La Casa del Venado, which tra, We recently visited Cotacachi, Ecuador to film a r, Hola Unconventionals! Its a beautiful scenic 3.5 hour drive through several of Ecuadors microclimates. The 10 Richest Cities In The US For 2022 Cary, NC Centennial, CO Frisco, TX Sunnyvale, CA Fremont, CA Bellevue, WA Pearland, TX Olathe, KS Overland Park, KS League City, TX Is everyone in these places loaded? It is not possible to live a really complete or successful life unless one is rich.Check out the most expensive things in the world. The Imbabura Volcano is clearly visible from all three cities. Experience beachside living and city convenience in the diverse Guayaquil.. Sitting at 2,560 feet above sea level, Cuenca is the third-largest city in Ecuador and the capital of Azuya Province. #globalsouthscience, Tuberculosis May Have Been In The Americas For Thousands Of Years, This Luxurious Galapagos Hotel Is Working To Save Ecuadors Native Plantlife, Ecuador Carries World Cup Torch For MLS Players Beyond Concacaf. Youll find lots of restaurants, bars, discos, and tourist activities there. 28.10%. Today, Lima is one of the most important financial centers of Latin America. Coworking ConQuito is a bright, modern space thats also pretty affordable. Washington, D.C.. Nearest International Airport: Quito (1 hour 45 minute drive). The other towns (or comunas) such as Manglaralto, Cura, San Jos, Las Nuez and La Entrada are very small with virtually no services aside from a traditional Ecuadorian restaurant and a small tienda (convenience store) or two. It is the third most populated city in the country and one of the most expensive to live in. We tell you exactly how to earn reliable income from anywhere in our Online Income eCourse. Ecuador has been named as the best country in the world to relocate to after retirement for obvious reasons. Salinas Ecuador has the feel of a little Miami, but at a fraction of the cost. The New Cathedral (construction began in 1885) with its majestic blue domes is one of the most iconic pieces of architecture in all of Latin America. However, the cheapest way to get to Manta is to take the bus, which is roughly seven hours from Quito and five hours from Guayaquil. Youll very soon become aware of how things work in Ecuador and adapt to this new day-to-day life accordingly. While some things are available during the week, the largest market day is Saturday. There are five main neighborhoods, Carrasco, Punta Carretas, Ciudad Vieja, Centro and Pocitos. There are many metallurgical companies due to the natural minerals found in the landscape. According to the report, the wealthiest city in Wisconsin is River Hills Village. Find many great new & used options and get the best deals for Postcard Lively Ghost Town Once Richest City In America Old Virginia City Nevada at the best online prices at eBay! Founded in the Witwatersrand Gold Rush of 1886, this is the wealthiest city in Africa. Porto Alegre a major agricultural exporter of items including soybeans, rice and beef as well as leather. There are several other expat-friendly cities in the mountain region, as well as on the Pacific coast and on the western edge of the Amazon Rainforest that might better suit your interests and circumstances. As a whole, the area has one of the highest levels of biodiversity in the world. Otavalo Ecuador is best known for its indigenous textiles market. A couple renting an apartment in Montevideo can expect to spend at least $2,000 USD per month. Northbridge is a city on the Lower North Shore of Sydney, New South Wales, Australia. These are based on the cost of living per month. This website uses cookies to improve your experience while you navigate through the website. Monthly rent for a 900 square foot apartment in La Paz runs between $600. If you do not want that we track your visit to our site you can disable tracking in your browser here: We also use different external services like Google Webfonts, Google Maps, and external Video providers. If you travel light, you can easily move between cities until you discover the best city in Ecuador for you. We hope to join your patreon soon. The Richest People In Ecuador Below are the richest people in Ecuador. Guayaquil Guayaquil, the capital of Guayas Province, is the largest and most populous city in Ecuador with a population of about 2,278,691. There are not a whole lot of coworking spaces in the Intag Valley, but there are a number of establishments that you can visit (or stay at) to get some work done. of scale have boosted the productivity of expanding cities and reduced the cost of delivering basic services to their inhabitants. Urban areas, for example, are where things such as pickpocketing and unlicensed taxis could cause an issue. Mexico City. Values are in US dollars. It may not be a tourist town, but theres a lot going on here. Youll find lots of expats from all age groups, and many have lived in this area for more than 5 years. Guayaquil was founded in 1538 as a native village before falling under Spanish rule on gaining her independence in 1820. Nearest International Airport: Guayaquil (6.5 hour drive; 40 minute flight), Nearest US Consulate: US Consulate in Guayaquil. A walk on either beach and youre likely to hear Spanish, English, German, Dutch, Polish, French and a multitude of other languages, with English being the common denominator. Click to enable/disable _gid - Google Analytics Cookie. Founded in 1904, it is a nationally known science center, observatory, artifact museum and research hub. If safety is a major concern, you may prefer one of the safer Ecuadorian coastal cities. The country generates more than $20.4 billion from exports. The summer high season is from December to May when the weather is warm and sunny, but the remainder of the year its cooler and mostly cloudy. The city which is perched on the banks of the Ambato River is the eight on the list. Sun, sea and sand await nomads in vacation-friendly Bahia de Caraquez.. However, during normal times when there isnt a worldwide pandemic, youll be very happy with the available medical services in Guayaquil. of the Ecuadors bilateral debt. Count yourself lucky! Contents1 Where do the wealthy live in Ecuador?2 What are the poorest cities in Ecuador?3 Is Ecuador a rich place?4 What is the richest part of Ecuador?5 Is Ecuador good to live?6 What is the main city in [] Even when theres not good surfing to be had, the beach is where its at. Cuenca, and most of the mountain cities in Ecuador, are referred to as the land of eternal spring. Thats because the weather is very spring-like most of the year. Since Last Year: +33. So, what's the richest big city in America according to the data? Youll find all sorts of irresistible things to buy, from blankets and tablecloths to clothes and wood carvings. Johannesburg. There are 18 islands in total, home to around 25,000 people, but only a few of the islands are permanently inhabited by humans. Hillsborough, California. There are lots of bilingual Ecuadorians, as well as language schools. It has a steady economy and high GDP. Nearest International Airport: Quito (3 hour 20 minute drive). As home to the first Jesuit missionaries, the city has strong historical significance and beautiful architecture. Thats right: coffee lovers may want to pay a visit to this area of Ecuador to see just how their cup of Joe gets made and to taste some of the best coffee the country has to offer. Monthly rent for a 900 square foot apartment is more than $1,000 a month. Public transport is also on the move, with a tram system in the works that will make getting around this Andean gem a veritable breeze. Youll get all sorts of timely information about Ecuador and global expat news that might affect your travel or move decisions. 5. The city was founded in the 1700s and is a major, industrial and cultural hub in Brazil. Cuenca was settled by the Spanish in 1557. As this Ecuador team emerges as a potential World Cup dark horse, it does so with the most MLS players of any team in the tournament outside of Concacaf. The city experienced major economic growth between 1970 and 2004 and continues to develop industry particularly information technology. ***Disclaimer*** Some of the links in this post are affiliate links. The city is the government, financial, industrial and commercial hub of Argentina. 1 Cities are critical to Latin America's overall economy. Median household income: $161,719. The largest city in Uruguay is also the southernmost capital in the Americas. The entire western side of Ecuador borders the Pacific Ocean and is home to several popular expat beach cities and towns. Share to Linkedin. Unlike Cuenca, the weather in Vilca is warmer and drier, making it a better choice if you prefer a more tropical mountain feel. While there is a small mercado and a Supermaxi in Salinas, most of the shopping is done in La Libertad, which borders Salinas to the north and hosts a variety of malls, grocery stores and a large traditional Ecuadorian mercado. World Bank national accounts data, and OECD National Accounts data files. Each is filled with parks and tree lined sidewalks. Living here also means you'll be on the doorstep of the Andes. These are some of the most expensive cities in Ecuador. The city is the home of the headquarters of Brazils oil, mining and telecommunication industries. The Amazon cities are growing in popularity, but you wont find nearly as many expats living there as youll find in the mountain and coastal regions. Because Montanita has become thetourist destinationthat it is today, its reasonably well connected by bus to other hotspots around Ecuador, meaning travelling around the country is relatively easy. If youre still learning Spanish, Loja will be full immersion. We also use third-party cookies that help us analyze and understand how you use this website. 8. On the less populated Isabela Island, Sun & Coffee is a good spot especially for breakfast. With an average taxable income of $171,135, Mosman is one of the richest cities in Australia; and with its population it accounts for significant figures in the Sydney economy. If you prefer a modern city with direct flights to other countries, Quito Ecuador may be the perfect expat destination for you. Campinas is home to over 17,600 industries including high technology, pharmaceutical and telecommunication companies as well as manufacturing industries including textiles, motorcycles, automobiles, agricultural equipment. Founded in 1557, modern Cuencahas definitely become the center for culture and art in Ecuador. The Ecuador Cost of Moving & Living Calculator. Guayaquil Guayaquil, in full Santiago de Guayaquil, largest city and chief port of Ecuador. Nearest International Airport: Guayaquil (1.5 hour drive), Nearest US Consulate: US Consulate in Guayaquil (1.5 hour drive). The best thing you can do with staying safe in Ecuador as with many places around the world is be cautious and remain aware of your surroundings. Its more like Leadville, Colorado in terms of amenities, but at roughly a mile high (5,233 ft / 1.595 m), you wont struggle as much for air. Find a home in one of the worlds most famous archipelagos.. From cultural attractions, to fine dining and luxury shopping, to the beautiful beaches of Ipanema, Rio is a beautiful city to visit and to live although expensive. The District Court of The Hague, Netherlands, confirmed that a $9.5 billion Ecuadorian judgment against Chevron was procured through egregious fraud and corruption, and has no value in international law. The cost for a 900 square foot apartment is around $700 per month. Along with government, finance, commerce, food production, publishing and computer software development are all vital to the citys economy. Cuenca is the cool and cultural highland city.. The weather in Quito is very similar to Cuenca, although a bit cooler due to the higher altitude. Quito is the capital city of Ecuador, and like Cuenca, its a Spanish colonial city with all the modern conveniences. Because of its central location, the government was moved there from Rio de Janeiro in 1956 and is a very planned and modern city. Biologist Mara Claudia Segovia Salcedo is not only helping to create a seed bank of Andean mountain plants, she is also planting the seeds for a more inclusive environment for women in STEM in Ecuador. A 900 foot square apartment costs about $1,100 a month to rent, and a single person living in the city can expect to pay at least $650 for food, clothing, transportation and entertainment. Ecuador is substantially dependent on its petroleum resources, which accounted for about a third of the country's export earnings in 2017. If you like hiking in the jungle, up a volcano or down a cave, Tena is the place to be. Because of the lack of activity most of the year, the expat community is very transient in Salinas. Resorts host tourists and provide restaurants, cafes, shops, bars and nightclubs. The city of 3.7 million is located in the Aburra Valley in the central Andes Mountains. The cost of living for a single person is about $500 to $600 a month in addition to rent. Ecuador Companies Summary Overview Number of Organizations 721 Location Ecuador, South America CB Rank (Hub) 24,259 Number of Founders 181 Average Founded Date Jan 14, 1994 Percentage Acquired 2% Percentage Non-Profit 2% Number of For-Profit Companies 669 Number of Non-profit Companies 17 Top Investor Types Accelerator , Investment Bank 53.85%. Nearest International Airport: Quito (2 hour drive). A single person will spend about $550 a month aside from rent. A 900 square foot apartment rents for about $600 a month. La Paz is the third most populated city of Bolivia with over 775,000 residents. If youre looking for coworking spots in Cuenca, there are a few to choose from. You might want to live in the mountains or beside the beach whichever it is, our guide will help you make that decision. The compact coastal town of Montanita is for nomads who like good times.. This region sits at 1,800 metres above sea level and is home to numerous endangered species, as well as several Intag communities, numbering around 17,000 in population. Lets be real: Intag isnt the sort of place where youre going to find a lot of restaurants, cafes, coworking spaces or any kind of urban entertainment. It is located at a height of 625 meters above sea level and covers the total area of 421.97 square miles. The monthly rent for a 900 square foot apartment runs between $500 and $900. If the big city isnt your thing, you might prefer one of the small towns located roughly an hour drive from Manta, such as San Clemente to the north or Puerto Cayo to the south. We may request cookies to be set on your device. Monthly rent in the city is about $450 for a 900 square foot apartment, and expenses for a single person living in Cordoba can run between $500 and $600 per month. Garrett by trade is a personal finance freelance writer and journalist. Grab ourEcuador Cost of Living and Moving Calculatorso you can more effectively budget for your move. A 900 foot apartment costs about $875 per month to rent. Ecuador may not be up there with the safest countries in the world, but you shouldnt be worried. The country has a sizable middle class and roughly a million people who are considered upper class Ecuadorians. If you're looking to establish a backup residency, Mexico, Panama, Ecuador, Colombia, Dominican Republic, Nicaragua, Portugal, and Northern Cyprus should be on your mind. They havent erupted in thousands of years and show no signs of becoming active any time soon. The following cookies are also needed - You can choose if you want to allow them: You can read about our cookies and privacy settings in detail on our Privacy Policy Page. 135.4% more than U.S. median income. This is a list of cities in the world by gross domestic product (GDP).The United Nations uses three definitions for what constitutes a city, as not all cities may be classified using the same criteria. It feels open-minded and easygoing compared to many other Ecuadorian cities, which probably has something to do with its university. Quito may have Baroque churches and cobbled streets, but it also has other things that capital cities all over the world have skyscrapers, commercial hubs, and traffic jams. He was the founding member of Grupo de Guayaquil (a literary group in Ecuador). Belo Horizante is home to the headquarters of Acomihas, a major steel company. Its a place thats stacked in history and culture, where charm abounds and southern hospitality rules. Sources: Heritage Foundation; World Economic Forum; Transparency International; Freedom House; World Bank; Central Intelligence Agency; Property Rights Alliance. There are nearly 3 million people living in the greater metropolitan region of Salvador. Quito sits at 9,350 feet (2.850 meters) above sea level, which is about 1,000 feet (300 meters) higher than Cuenca. 2023 Forbes Media LLC. Rounding out the top three cities is Tokyo, with $2.5 trillion in private wealth. We ho, We woke up early on a Thursday morning, eager to e, We just dropped a NEW VIDEO over on buff.ly/3HyLOd, Colombia has been on our list of must-visit places, NEW VIDEO dropping TODAY at 5PM Eastern / Ecuador, Hola Unconventionals! Located about 45 minutes south of Loja and 4 hours south of Cuenca, Vilcabamba is nestled in a valley surrounded by scenic mountain peaks. The GDP value of Ecuador represents 0.05 percent of the world economy. We need 2 cookies to store this setting. No. Florianopolis is located on the lagoons on the eastern coast of Brazil. Seven of the safest cities in Mexico. Situated on the Guayas River just upstream from the Gulf of Guayaquil, Guayaquil is another city to put on your short list if you are planning to look for work in Ecuador. While Guayaquil isnt located on the coast of Ecuador, it is located in Ecuadors Pacific coastal region at the base of the Guayas River delta that empties into the Pacific Ocean. Due to its lower altitude and location deeper into the Amazon jungle, its typically a bit warmer than Tena and Puyo with average high temperatures over 90F (32C). The city is the home of Paraguays government and a major seaport. 2.4 #3 Guayaquil. The top ten richest cities in the world based on private wealth include: The city is also home to industries including General Motors and several technological companies. Montanita is the ideal spot for surfers, who flock to the beach for its famous breaks. It costs about $500 a month for a single person to live in the city excluding rent. Plus, the Cuencana dialect is much slower paced than other Spanish dialects and their beautiful sing-song accent sounds more Italian than Spanish. Cuenca, Ecuador. The Galapagos is not a glamorous tropical destination by any means. Music from opera to samba to rock is a vital part of the citys culture. The beachside Selina Montaita CoWork boasts yoga lessons as a perk, as well as speedy wi-fi and a chill atmosphere. Nearest International Airport: Quito (45 minute drive from downtown), Nearest US Consulate: US Embassy in Quito. While some expats prefer living near the clouds, others prefer living near the sand. Santiago is a cultural center of the country and offers world class theater and music, universities, art galleries, parks, a zoo and sports venues as well as dining and shopping. Ibarra is the largest of the three cities with 140,000 people, making it less than half the size of Cuenca. But this will always prompt you to accept/refuse cookies when revisiting our site. Nearest International Airport: Guayaquil (3 hour drive). It is also an expensive city to live in. Click to enable/disable essential site cookies. . Theater, museums, sports and telecommunications are important to the citys vibrancy. The The Barbaric Bonfire, a biography is one of his notable works. The cost to rent a 900 square foot apartment in Campinas is about $500 to $700 per month and the cost of living aside from rent for a single person is about $500 to $600 per month. Lets be honest living somewhere is very different from travelling around. The thin air is likely the first thing youll notice when exiting the plane. This is Part 4 in our series about living abroad in Ecuador. On your drive to Salinas from Guayaquil, if you take the turnoff at Ancn and enter Salinas from the south via Avenida Punta Carnero, you might be surprised at how much it looks and feels like a desert. Richest Resident: Zhang Yiming, $35.6 Billion. The city is located in the central-west area of the country in a canyon surrounded by the Altiplano Mountains. Montevideo, Uruguay has the highest cost of living of South American cities. Vilcabamba is considered a fountain of youth by many because it was briefly considered a Blue Zone where people live longer than normal. Music and street food are a part of life in Florianopolis. The city has several universities. However, thanks to past eruptions, the land around the volcano is very fertile making it great for growing crops like corn, sugarcane and beans. There are thousands of cities and towns in Ecuador, and expats live in a lot of them, but this article focuseson the most popular expat cities. N ew York City has taken back its crown. License: CC BY-4.0 . And in all of these cities certain areas will cost much more than the rest of city. Click the nextARROWto see the next City! Its famous for the Amazon rainforest surrounding it, as well as the tributaries that eventually feed the Amazon River. The city is located in the southeastern region of Brazil. It is also the most second most expensive city to live in Columbia. The methodology of calculating GDP may differ between the studies and are widely based . The main industries in Cordoba are automobile and automobile parts manufacturing as well as agriculture. The most expensive cities in Ecuador are Cuenca, Guayaquil, Quito and Salinas. Ecuador uses the U.S. dollar as its currency, so retirees who have . Renting a 900 square foot apartment in Asuncin can be between $600 and $800 per month. In addition to a traditional Ecuadorian mercado, youll also find a modern Ta and an Ak grocery store. The food in Bahia de Caraquez is also very good: peanut soup is a tasty local dish, while the citys take on ceviche is one of the most well known in the country. There are poor areas, for sure, but there are also plenty of places where people have money to spare. Popular with visitors and locals alike, the bars hot up here on weekend nights. La Universidad de Cuenca draws students to the city and tourism is a major contributor to the economy. This is just one of the reasons that Cuenca is becoming more and more popular to live in. Popular as a vacation spot for Ecuadorians, this city sadly felt the effects of an earthquake in 2016, which devastated many of its buildings. Read More On forbes lists #99 Best Countries for Business 2018 Rankings Worst Best Trade freedom 124. As Ecuadors largest city with more than 2 million people, Guayaquil has all the amenities of a big city, including an international airport with direct flights to the US and Europe, as well as most other countries in South America. The cost to rent a 900 square foot apartment in Cuenca is about $650 a month. San Miguel de Allende. The cost to rent a small 900 square foot apartment in Medellin costs between $800 a month. Manglaralto is home to the areas only urgent care clinic, which can handle broken bones, stitches and a variety of ocean injuries, but if you need a specialist or serious medical care, youll need to drive to La Libertad (1 hour), Manta (2.5 hours) or Guayaquil (3 hours). Industrialism and trade helped make Medellin important to the regions economy.