Surname Alex Efren (Alex Efren 
) , across the world, is an extremely rare last name. The surname Alex Efren is habitual in Latin America and the Caribbean, particularly Chile, where it is an extremely rare surname. Predominantly, Alex Efren is the forename as well as the last name.
| VARIANT | COUNTRY |
|---|---|
| Alex Efren | Peru, Spain, Chile, Ecuador, Costa Rica |