| Altena to Pozoblanco | 1,079.55 mi (1,737.36 km) |
| Altena to Premia de Mar | 722.79 mi (1,163.23 km) |
| Altena to Priego de Cordoba | 1,119.57 mi (1,801.78 km) |
| Altena to Puente-Genil | 1,137.60 mi (1,830.79 km) |
| Altena to Puenteareas | 988.35 mi (1,590.60 km) |
| Altena to Puerto de la Cruz | 2,017.64 mi (3,247.08 km) |
| Altena to Puerto del Rosario | 1,929.85 mi (3,105.79 km) |
| Altena to Puerto Real | 1,227.29 mi (1,975.13 km) |
| Altena to Puertollano | 1,041.86 mi (1,676.71 km) |
| Altena to Puigcerda | 669.52 mi (1,077.48 km) |
| Altena to Pulpi | 1,065.01 mi (1,713.97 km) |
| Altena to Puzol | 893.59 mi (1,438.09 km) |
| Altena to Quintanar de la Orden | 959.07 mi (1,543.47 km) |
| Altena to Rafelbunol | 895.83 mi (1,441.70 km) |
| Altena to Redondela | 986.89 mi (1,588.24 km) |
