| Name | What | Region | Country | Lat | Long | Elev ft. | Pop est |
|---|---|---|---|---|---|---|---|
| Alto Rafael | city | Santa Catarina | Brazil | -26.96 | -49.53 | 1053 | 1598 |
| Alto Raimundo | city | Guarico | Venezuela | 9.43 | -67.42 | 830 | 298 |
| Alto Ramirez | city | Libertador General Bernardo O'Higgins | Chile | -34.48 | -71.91 | 997 | 2216 |
| Alto Rancho | city | Cibao Nordeste | Dominican Republic | 19.32 | -69.95 | 830 | 12540 |
| Alto Real Colonia | city | Texas | United States | 26.15 | -97.86 | 55 | |
| Alto Redentor | city | Alagoas | Brazil | -9.32 | -35.57 | 78 | 15282 |
| Alto Redondo | city | Casanare | Colombia | 5.21 | -72.77 | 4189 | 263 |
| Alto Redondo | city | Cundinamarca | Colombia | 4.58 | -73.26 | 2004 | 172 |
| Alto Rey | city | Ngobe-Bugle | Panama | 8.34 | -81.96 | 830 | 2649 |
| Alto Ribeirao Cambara | city | Santa Catarina | Brazil | -26.91 | -49.84 | 1669 | 3815 |
| Alto Ribeirao da Laje | city | Santa Catarina | Brazil | -26.89 | -49.58 | 1669 | 315 |
| Alto Riecito | city | Cesar | Colombia | 10.27 | -73.02 | 7549 | 2518 |
| Alto Riecito | city | Cocle | Panama | 8.89 | -80.30 | 830 | 3914 |
| Alto Rio Bravo | city | Santa Catarina | Brazil | -28.02 | -49.07 | 2001 | 939 |
| Alto Rio Doce | city | Minas Gerais | Brazil | -21.03 | -43.41 | 2509 | 12143 |
| Alto Rio Forcacao | city | Santa Catarina | Brazil | -26.75 | -49.63 | 2509 | 650 |
| Alto Rio Krauel | city | Santa Catarina | Brazil | -26.97 | -49.93 | 1778 | 1739 |
| Alto Rio Mayo | city | Chubut | Argentina | -45.56 | -71.30 | 2020 | 0 |
| Alto Rio Novo | city | Espirito Santo | Brazil | -19.07 | -41.02 | 2027 | 8580 |
| Alto Rio Preto | city | Santa Catarina | Brazil | -26.53 | -49.60 | 3595 | 1136 |
| Alto Rio Preto | city | Santa Catarina | Brazil | -26.57 | -49.61 | 3540 | 1127 |
| Alto Rio Scharlach | city | Santa Catarina | Brazil | -26.92 | -49.56 | 1246 | 745 |
| Alto Rio Senguer | city | Chubut | Argentina | -45.04 | -70.82 | 2509 | 1672 |
| Alto Rio Senguerr | city | Chubut | Argentina | -45.04 | -70.82 | 2509 | 1672 |
| Alto Rodeo | city | Salta | Argentina | -22.57 | -65.03 | 9540 | 238 |
| Alto Roque | city | Lambayeque | Peru | -5.95 | -80.23 | 259 | 559 |
| Alto Rosario | city | Bolivar | Colombia | 8.79 | -74.16 | 111 | 4347 |
| Alto Rosario | city | Cordoba | Colombia | 8.60 | -75.84 | 223 | 8642 |
| Alto Rosario | city | Dominican Republic | 18.85 | -71.57 | 1669 | 13016 | |
| Alto Rosario de Ancomarca | city | Puno | Peru | -17.17 | -69.64 | 13848 | 149 |