| Street | Hermosura 676 | ||
| City/Town | Chachapoyas | ||
| State/Province/Region | Amazonas | ||
| Zip/Postal Code | 01001 | ||
| Phone Number | (041) 477469 | ||
| Country | Peru |
| Full Name | Dr. Luciano Dueñas | ||
| Gender | male | ||
| Birthday | 1973-12-05 | ||
| Social Security Number |
| Credit card brand | Diners Club | ||
| Credit card number | 3879532422549133 | ||
| Expire | 2030/1 | ||
| CVV | 662 |