San Cosme y Damián is a district in the

Itapúa Department Itapúa () is a department in the southern region of Paraguay. The capital is the city of Encarnación. It is divided into 30 districts, more than any other district in the country. History This department was created after the breakup of the ...

of Paraguay. Located 80 km west of Encarnación, it is close to places like Ayolas, General Artigas or

Isla Apipé Isla Apipé or Isla Apipé Grande is an Argentine island about 25 km long in the Paraná River below the Argentine city of Posadas, Misiones, very marginally within the border of Paraguay, divided by river and a thin strip of variable marsh ...

, in Southern Paraguay and Northern Argentina, along the Paraná River.

Sources

World Gazeteer: Paraguay
ndash; World-Gazetteer.com {{DEFAULTSORT:San Cosme y Damian Districts of Itapúa Department