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Island (A tract of land, smaller than a continent, surrounded by water at high water)
| name | alternatenames | latitude | longitude | timezone | modification_date |
| Isla Centenario | Isla Centenario | -24.31903 | -57.18278 | America/Asuncion | 2017-11-10 |
| Isla Las Mercedes | Isla Las Mercedes,Isla Oculto | -24.49178 | -57.18184 | America/Asuncion | 2018-11-30 |
| Isla Esperanza | Isla Esperanza | -24.48734 | -57.1675 | America/Asuncion | 2017-11-10 |
| Isla Capá | Isla Capa,Isla Capá | -24.47274 | -57.07854 | America/Asuncion | 2017-11-10 |
| Isla Bonete | Isla Bonete | -24.45734 | -57.05194 | America/Asuncion | 2017-11-10 |
| Isla Marina | Isla Marina | -24.84558 | -57.26551 | America/Asuncion | 2017-11-10 |
| Isla Paranambú | Isla Paranambu,Isla Paranambú | -25.98088 | -54.62111 | America/Asuncion | 2024-09-13 |
| Isla Pareja | Isla Pareja | -26.30053 | -54.65063 | America/Asuncion | 2017-11-10 |
| Isla Santa Rosa | Isla Santa Rosa | -25.65268 | -57.72708 | America/Asuncion | 2024-10-20 |
| Isla Rodriguez | Isla Rodriguez | -27.27301 | -58.35291 | America/Asuncion | 2024-10-12 |
| Isla Pacurí | Isla Pacuri,Isla Pacurí | -27.26883 | -58.30211 | America/Asuncion | 2024-10-12 |
| Isla Naranjito | Isla Naranjito | -27.28254 | -57.82882 | America/Asuncion | 2024-10-12 |
| Isla del Limosn | Isla del Limosn | -27.25073 | -58.12081 | America/Asuncion | 2024-10-12 |
| Isla Aquino | Isla Aquino | -26.39823 | -58.21252 | America/Asuncion | 2024-10-12 |
| Isla Monterita | Isla Monterita | -26.87187 | -58.36646 | America/Asuncion | 2024-09-17 |
| Isla Tororó | Isla Tororo,Isla Tororó | -25.46006 | -57.55386 | America/Asuncion | 2024-10-12 |
| Isla Costa Larga | Isla Costa Larga | -27.3097 | -57.78644 | America/Asuncion | 2024-10-12 |
| Isla Lobato | Isla Lobato | -25.76853 | -57.81637 | America/Asuncion | 2024-10-20 |