Family name Elio Alexander (Elio Alexander 
) , all over the world, is an extremely rare surname. The cognomen Elio Alexander is characteristic of Southern Europe, particularly Spain, where it is a very rare surname. More prevalently, Elio Alexander is the forename as well as the last name.
| VARIANT | COUNTRY |
|---|---|
| Elio Alexander | Costa Rica, Spain, United States, Ecuador, Peru |
Damico, Trelles, and Hernandez H