Probably not many expats at hot sea level Guayaquil.
Following the Panama / Costa Rica model, most gringo ex-pats like to build at higher/cooler elevations with a lot more “social distance.”
You're right. Quito is much more popular but it's still in the same country with the same collapsed medical system. When I was looking their PM was an American trained economist who at least understood the value of bringing dollars into the country but the natives were starting to resent them even before me moved in 2016. I don't know if they kept coming or took the hint that they were no longer wanted and moved elsewhere.
I seem to recall this was one of the locals that was featured on HGTV’s House Hunters International as a place expats were moving because it was the least expensive ocean front property in the western hemisphere.