San Cosme y Damián is located in Paraguay. It is positioned in "America/Asuncion" time zone (GMT-4 ) with current time of 03:46 AM, Tuesday (difference from your time zone: hours). San Cosme y Damián is populated place in Itapúa with population of ∼2.2 thousand.
Places around San Cosme y Damián sort by population
Ayolas
55.1 km 
San Pedro del Paraná
55.8 km 
Carmen del Paraná
16.1 km 
General Artigas
44.6 km
Fram
59.2 km
Capitán Miranda
55.9 km 
Santiago
45.6 km 
General Delgado
23.4 km 
San Juan del Paraná
37.9 km
Sources, notes:
• Map is powered by openstreetmap.org.
• Geographic location info from www.geonames.org database.
• Population data is only approximately value, it may be out of date.
• Distance calculator between two coordinates is powered by PHP with rounding precision of 0.1 km (or 1 km for longer distances), source code can be found at 1km.net site.
