Cognomen Macsimo (Macsimo 
) , in the world, is an extremely rare surname. The last name Macsimo is habitual in Latin America and the Caribbean, particularly Mexico, where it is an extremely rare surname. More frequently, Macsimo is the forename as well as the last name.
| VARIANT | COUNTRY |
|---|---|
| Macsimo | Philippines, Nicaragua, Argentina, Brazil, Mexico |