| Street | Riveroll 367 | ||
| City/Town | Ensenada | ||
| State/Province/Region | Baja California | ||
| Zip/Postal Code | 22800 | ||
| Phone Number | 01 646 178 2224 | ||
| Country | Mexico |
| Full Name | Dr. Carmen Rivas | ||
| Gender | Female | ||
| Birthday | 1988-12-28 | ||
| Social Security Number | 281-12-9383 |
| Credit card brand | Discover | ||
| Credit card number | 6011744407937157 | ||
| Expire | 2030/3 | ||
| CVV | 755 |