| Street | Avenida Infante Dom Henrique 58 | ||
| City/Town | Sabugal | ||
| State/Province/Region | Guarda | ||
| Zip/Postal Code | 6320-318 | ||
| Phone Number | 271 753 197 | ||
| Country | Portugal |
| Full Name | Lisandro Emanuel Vicente | ||
| Gender | male | ||
| Birthday | 1981-02-27 | ||
| Social Security Number | 473-30-1657 |
| Credit card brand | EnRoute | ||
| Credit card number | 2149154755944017 | ||
| Expire | 2028/12 | ||
| CVV | 751 |