One aspect that determined Alfredo’s qualities as an artist-creator was the interest in social work, specializing in the hospital clown ‘The Clown Doctor’. In 2007 he began a collaboration with the Theodora Foundation which lasted for more than 10 years, visiting hospitalised children in Galicia, Madrid, Barcelona, Gran Canaria and Istanbul.
In 2011 he travelled to India with the Vicente Ferrer Foundation to cover a program of hospital artists and the representation of shows in rural areas in the community of Anantapur.
He also collaborated with the María’s Children’s Foundation in Moscow, visiting the Beslán (Ossetia) school as well as different orphanages in the Russian capital.
He emphasised with the warlike conflict zones his passage through the West Bank, where he visited the Nablus and Ramallah hospitals, as well as collaborating with numerous educational institutions and cultural associations as a member of various clown caravans.