| Street | Avenida Alfonso Ugarte 2157 |
| City/Town | Tarapoto |
| State/Province/Region | San Martín |
| Zip/Postal Code | TARAPOTO |
| Phone Number | (042) 523342 |
| Country | Peru |
| Latitude | -6.494642 |
| Longitude | -76.380346 |
| Full Name | Ximena Valeria Cavazos Espinal |
| Gender | female |
| Birthday | 1984-08-22 |
| Social Security Number |
| Credit card brand | Visa |
| Credit card number | 4556885220793339 |
| Expire | 2030/3 |
| CVV | 914 |