| Street | Panamericana Sur Km 293.3 | ||
| City/Town | Salas | ||
| State/Province/Region | Ica | ||
| Zip/Postal Code | 11500 | ||
| Phone Number | (056) 406224 | ||
| Country | Peru |
| Full Name | Sr. Lorenzo Huerta Madrigal | ||
| Gender | male | ||
| Birthday | 1983-03-05 | ||
| Social Security Number |
| Credit card brand | Mastercard | ||
| Credit card number | 5454215050677628 | ||
| Expire | 2028/6 | ||
| CVV | 069 |