Surname Manuel Alfredo (Manuel Alfredo 
) , all over the world, is a rare cognomen. The last name Manuel Alfredo is characteristic of Chile, where it is quite a rare surname, and Spain, where it is a rare surname. More prevalently, Manuel Alfredo is the forename as well as the last name.
| VARIANT | COUNTRY |
|---|---|
| Manuel Alfredo | Spain, Chile, El Salvador, Ecuador, Peru |
Soto, Sanchez, Salinas, Allegri, Caceres, Ramirez, Jimenez, Herrera, Fuentes, Martinez, Saavedra, Castillo, Calderon, Ceballos, Gonzalez, Gonzales, Espinoza, Maldonado, Sepulveda, Contreras, Rodriguez, Gutierrez, Mendoza, Morales, Quispe, Flores, Ruiz, Diaz, Vera, Vega, Faro, Silva, Souto, Araya, Bravo, Perez, Hernandez, Peña, Rojas, Rubio, Gomez, Lopez, Ortiz, Muñoz, Chavez, Garcia, Torres, Vargas, Ramos, and Fernandez