| Street | Isla Esteves s/n Lago Titicaca Puno | ||
| City/Town | Puno | ||
| State/Province/Region | Puno | ||
| Zip/Postal Code | 21001 | ||
| Phone Number | (051) 367780 | ||
| Country | Peru |
| Full Name | Luciano Ivan Meza Ulibarri | ||
| Gender | male | ||
| Birthday | 1977-01-13 | ||
| Social Security Number |
| Credit card brand | American Express | ||
| Credit card number | 349464040096354 | ||
| Expire | 2028/6 | ||
| CVV | 820 |