| Street | Calle Cabo Noval, 2 | ||
| City/Town | Logrono | ||
| State/Province/Region | La Rioja | ||
| Zip/Postal Code | 26009 | ||
| Phone Number | 941 25 13 00 | ||
| Country | Spain |
| Full Name | Lic. Carolina Rosas Tercero | ||
| Gender | female | ||
| Birthday | 1980-02-08 | ||
| Social Security Number | 750-61-2622 |
| Credit card brand | Voyager | ||
| Credit card number | 8699386616795813 | ||
| Expire | 2029/5 | ||
| CVV | 858 |