| Street | 9na. ( Barrio Santa Cruz ) | ||
| City/Town | Juchitan de Zaragoza | ||
| State/Province/Region | Oaxaca | ||
| Zip/Postal Code | 70080 | ||
| Phone Number | 01 971 711 1057 | ||
| Country | Mexico |
| Full Name | Dr. Luz Serna | ||
| Gender | Male | ||
| Birthday | 1979-07-16 | ||
| Social Security Number | 011-49-5522 |
| Credit card brand | Discover | ||
| Credit card number | 6011851619816093 | ||
| Expire | 2028/1 | ||
| CVV | 907 |