| País | Ciudad | Provincia | Calle | Código Postal | |
|---|---|---|---|---|---|
| VE - Venezuela | Carabobo |
| País Emisor | Tipo | Número | |
|---|---|---|---|
| VE - Venezuela | Identificación Nacional | 7062172 |
| Fecha |
|---|
| 14 Jun 1963 |
| Programa |
|---|
| VENEZUELA |
| Título |
|---|
| Member of Venezuela's Presidential Commission for the Constituent Assembly |
| Constituent of Venezuela's Constituent Assembly for Valencia Municipality in Carabobo State |