Elizondo is the recipient of an Obie Award, a Primetime Emmy Award, and two ALMA Awards. He has also received nominations for a Drama Desk Award, a Golden Globe Award, a Satellite Award, and five Screen Actors Guild Awards.
Elizondo was born in New York, the son of Carmen Medina Reyes and Martín Echevarría Elizondo, a notary public and accountant. His parents were Puerto Ricans of Spanish and Basque descent who moved from Puerto Rico to New York City with the hope of finding a better life. He grew up on the Upper West Side.
At a young age, he demonstrated a talent for sports and music. He sang for the Frank Murray Boys' Choir when he was 10 years old. Upon graduating from junior high school in 1950, he enrolled in the High School of the Performing Arts. He also attended another public high school, where he excelled in basketball and baseball. His baseball skills were good enough for him to be scouted by both the San Francisco Giants and the Pittsburgh Pirates. In 1954, Elizondo enrolled in City College of New York, intending to become a history teacher. However, during his freshman year, he became a father and dropped out of college, going to work full-time to support his family. Later, he divorced and gained full custody of his son, Rodd.

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