| Final 19:14 | time | -time | L |
| 1. Venezuela | 3:49.69 | | 5 |
| - Ximena Vilar | 58.04s |
| - Jeserik Pinto | 57.49s |
| - Yanel Pinto | 58.62s |
| - Arlene Semeco | 55.54s |
| 2. Puerto Rico | 3:50.53 | 0.84s | 3 |
| - Coral Lopez | 58.72s |
| - Alana Berrocal | 58.49s |
| - Debra Rodriguez | 58.51s |
| - Vanessa Garcia | 54.81s |
| 3. Mexico | 3:50.62 | 0.93s | 7 |
| - Liliana Ibanez Lopez | 56.75s |
| - Martha A. Beltran Sanchez | 58.47s |
| - Arantxa Medina Alegria | 58.29s |
| - Maria F. Gonzalez Ramirez | 57.11s |
| 4. Jamaica | 3:56.43 | 6.74s | 6 |
| - Kendese Merisa Nangle | 1:01.66 |
| - Alia Shanee Atkinson | 57.68s |
| - Victoria Isabelle Ho | 59.45s |
| - Natasha Dominique Moodie | 57.64s |
| 5. Trinidad Tobago | 3:57.70 | 8.01s | 1 |
| - Cherelle A. F. Thompson | 59.70s |
| - Kimberly John-Williams | 59.36s |
| - Samantha Rahael | 1:00.39 |
| - Sharntelle Mc Lean | 58.25s |
| 6. Aruba | 4:05.48 | 15.79s | 8 |
| - Daniella Van Den Berg | 1:01.72 |
| - Gabrielle Ponson | 1:00.27 |
| - Allyson Ponson | 1:01.05 |
| - Ashley Bransford | 1:02.44 |
| -. Bahamas | DQ | | 2 |
| - Alana Kathryn Dillette |
| - Alicia Lightbourne |
| - Ariel Weech |
| - Arianna F. Vanderpool-W. |
| -. Colombia | DQ | | 4 |
| - Carolina Colorado Henao |
| - Valentina Arcila Hurtado |
| - Maria P. Alvarez Pugliese |
| - Isabella Arcila Hurtado |