Ecuador City Guide

Living in Cuenca

Ecuador's most popular expat city. A UNESCO World Heritage colonial center with cobblestone streets, walkable layout, and the largest North American retiree community in Ecuador.

Province

Azuay

Climate

Mild, dry May–Oct, wet Nov–Apr, 10–22°C

Cost of Living

Moderate

Population

600,000

Expat Scene

Very large and well-established. Thousands of retirees, active clubs, English-speaking doctors, CuencaHighLife magazine, and a mature support network.

Healthcare

Excellent for city size. Hospital del Río, Monte Sinai, Hospital Vicente Corral Moscoso. Many English-speaking specialists.

Why Move Here

  • Largest expat retiree community
  • Walkable colonial center
  • Excellent healthcare
  • Year-round spring climate
  • Active social life

Challenges

  • Wet season can feel long
  • Limited direct international flights
  • Growing traffic
  • Altitude adjustment needed
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Explore Azuay Province

Cuenca is Ecuador's most popular expat city, especially for retirees. Azuay Province offers colonial charm, excellent healthcare, a walkable city center, and one of Latin America's most established foreign-resident communities.

Azuay Province Guide
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