| Cuba, Dominicana, Mexico and Puerto Rico qualified to Olympic Qualification America Women 1999. |
| Finals | | Game | date | time | team 1 | score | team 2 | HT | | Final | | | Cuba | 117-61 | Dominicana | | | 3-4 | | | Mexico | 63-59 | Puerto Rico | |
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| Final ranking | w | l | pf | pa | | 1. Cuba | 6 | 0 | 567: | 270 | | 2. Dominicana | 3 | 3 | 419: | 485 | | 3. Mexico | 4 | 2 | 360: | 332 | | 4. Puerto Rico | 3 | 3 | 384: | 426 | | 5. Bahamas | 1 | 4 | 241: | 336 | | 6. Guatemala | 0 | 5 | 246: | 368 |
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| First 2 to Final. Next 2 to Bronze Medal match. |
| Round Robin | w | l | pf | pa | TB | | 1. Cuba | 5 | 0 | 450: | 209 | | | 2. Dominicana | 3 | 2 | 358: | 368 | +6 | | 3. Mexico | 3 | 2 | 297: | 273 | +5 | | 4. Puerto Rico | 3 | 2 | 325: | 363 | -11 | | 5. Bahamas | 1 | 4 | 241: | 336 | | | 6. Guatemala | 0 | 5 | 246: | 368 | |
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| Team | Cuba | Domi | Mexi | Puer | Baha | Guat | | Cuba | ----- | 120:48 | 78:43 | 83:36 | 78:43 | 91:39 | | Dominicana | | ----- | 65:51 | | 74:44 | 82:56 | | Mexico | | | ----- | 64:45 | 61:42 | 78:43 | | Puerto Rico | | 97:89 | | ----- | 78:64 | 69:63 | | Bahamas | | | | | ----- | 48:45 | | Guatemala | | | | | | ----- |
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| date | time | team 1 | score | team 2 | HT | | 01. | | Puerto Rico | 78-64 | Bahamas | | | 02. | | Mexico | 78-43 | Guatemala | | | 03. | | Cuba | 120-48 | Dominicana | | | 04. | | Mexico | 64-45 | Puerto Rico | | | 05. | | Dominicana | 74-44 | Bahamas | | | 06. | | Cuba | 91-39 | Guatemala | | | 07. | | Dominicana | 65-51 | Mexico | | | 08. | | Puerto Rico | 69-63 | Guatemala | | | 09. | | Cuba | 78-43 | Bahamas | | | 10. | | Bahamas | 48-45 | Guatemala | | | 11. | | Puerto Rico | 97-89 | Dominicana | | | 12. | | Cuba | 78-43 | Mexico | | | 13. | | Mexico | 61-42 | Bahamas | | | 14. | | Dominicana | 82-56 | Guatemala | | | 15. | | Cuba | 83-36 | Puerto Rico | |
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