Visa must be obtained if stay longer than 90 days. Street, NW, Washington, DC. 20009. Medical care available but varies in quality.
Many hospitals take credit cards.
Supplemental medical insurance with specific overseas coverage, including provision for medical evacuation, useful in emergencies. Incidents of luggage theft at airport. Traffic accidents involve buses frequent. Bus travel particularly dangerous, especially at night, because of crime. Crossing or approaching Ecuador-Peru border anywhere except at official checkpoints dangerous.