| Street | Santiago De Surco | ||
| City/Town | Santiago de Surco | ||
| State/Province/Region | Lima | ||
| Zip/Postal Code | 150140 | ||
| Phone Number | (01) 2743679 | ||
| Country | Peru |
| Full Name | Regina Andrea Navarro Patiño | ||
| Gender | female | ||
| Birthday | 1978-05-25 | ||
| Social Security Number |
| Credit card brand | EnRoute | ||
| Credit card number | 2014769082645474 | ||
| Expire | 2029/8 | ||
| CVV | 224 |