Family name Elias Efrain (Elias Efrain 
) , in the world, is a very rare last name. The surname Elias Efrain is habitual in Spain, where it is a very rare surname, and Chile. More frequently, Elias Efrain is the forename as well as the last name.
| VARIANT | COUNTRY |
|---|---|
| Elias Efrain | Costa Rica, Spain, Chile, Ecuador, Peru |