Career
Ruano was part of the successful Alianza team of the early 1960s when he played alongside Salvador Mariona and Roberto Rivas among others Nicknamed Baiza, Alfredo Ruano participated in many tournaments throughout his career with El Salvador, such as the CCCF Championship, CONCACAF Championship, and Central American and Caribbean Games. He played in the 1954 Central American and Caribbean Games winning team alongside other Salvadoran football greats as Juan Francisco Barraza.