| Street | Av General Las Heras 340 | ||
| City/Town | Ciudad de Mendoza | ||
| State/Province/Region | Mendoza | ||
| Zip/Postal Code | 5501 | ||
| Phone Number | 0261 423-3500 | ||
| Country | Argentina |
| Full Name | Dr. Jerónimo Carrera Hijo | ||
| Gender | male | ||
| Birthday | 1996-11-13 | ||
| Social Security Number |
| Credit card brand | JCB | ||
| Credit card number | 3532587887154703 | ||
| Expire | 2029/10 | ||
| CVV | 027 |