Family name Karem Alejandra (Karem Alejandra 
) , all over the world, is a very rare cognomen. The cognomen Karem Alejandra is habitual in Latin America and the Caribbean, particularly Chile, where it is a rare surname. More frequently, Karem Alejandra is the forename as well as the last name.
| VARIANT | COUNTRY |
|---|---|
| Karem Alejandra | Peru, Ecuador, Chile, Spain |