| Street | Ricardo Palma | ||
| City/Town | Iquitos | ||
| State/Province/Region | Loreto | ||
| Zip/Postal Code | IQUITOS | ||
| Phone Number | (065) 231983 | ||
| Country | Peru |
| Full Name | Srta. Andrea Nieto | ||
| Gender | female | ||
| Birthday | 1975-07-07 | ||
| Social Security Number |
| Credit card brand | Discover | ||
| Credit card number | 6011885537827170 | ||
| Expire | 2029/11 | ||
| CVV | 455 |