| Final A | Team | time | -)time | L | React. | 50m | 100m | 150m | | 1. Thiago Pereira | BRA | 1:57.19 | RP | 5 | 0.64s | 1. | 27.37s | 1. | 56.73s | 1. | 1:26.33 | | 2. Omar Andres Pinzon | --- | 1:58.31 | 1.12s | 4 | 0.61s | 2. | 27.64s | 2. | 56.93s | 2. | 1:26.72 | | 3. Ryan Fitzgerald Murphy | --- | 1:58.50 | 1.31s | 6 | 0.65s | 3. | 27.91s | 5. | 58.64s | 4. | 1:28.82 | | 4. Rexford Tullius | --- | 1:59.23 | 2.04s | 3 | 0.65s | 5. | 28.10s | 4. | 58.61s | 3. | 1:28.62 | | 5. Leonardo De Deus | --- | 2:03.28 | 6.09s | 2 | 0.63s | 4. | 28.04s | 3. | 58.27s | 5. | 1:30.21 | | 6. Luis Rojas | --- | 2:06.07 | 8.88s | 1 | 0.57s | 6. | 29.08s | 6. | 1:01.22 | 6. | 1:33.72 | | 7. Ezequiel Trujillo | --- | 2:06.18 | 8.99s | 8 | 0.65s | 7. | 29.32s | 7. | 1:02.15 | 7. | 1:34.04 | | 8. Pedro Luis Medel | --- | 2:13.77 | 16.58s | 7 | 0.72s | 8. | 31.11s | 8. | 1:05.78 | 8. | 1:40.39 |
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| World record: | | Pan American Games record: |
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| Qualification: | | Standard A: 2:04.1 | | Standard B: 2:07.8 |
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| Heats | Team | time | -)time | L | React. | 50m | 100m | 150m | Heat | | 1. Omar Andres Pinzon | --- | 2:01.14 | | 5 | 0.64s | 2. | 28.51s | 2. | 59.38s | 1. | 1:30.26 | Heat 1. | | 2. Thiago Pereira | BRA | 2:03.53 | 2.39s | 4 | 0.67s | 1. | 28.40s | 1. | 59.16s | 2. | 1:30.51 | Heat 1. | | 3. Rexford Tullius | --- | 2:03.82 | 2.68s | 4 | 0.62s | 1. | 28.59s | 1. | 1:00.76 | 1. | 1:33.45 | Heat 2. | | 4. Ryan Fitzgerald Murphy | --- | 2:03.89 | 2.75s | 3 | 0.70s | 3. | 29.31s | 2. | 1:00.83 | 2. | 1:33.51 | Heat 2. | | 5. Leonardo De Deus | --- | 2:05.12 | 3.98s | 5 | 0.65s | 2. | 29.17s | 3. | 1:01.29 | 4. | 1:33.87 | Heat 2. | | 6. Pedro Luis Medel | --- | 2:05.20 | 4.06s | 3 | 0.71s | 5. | 29.26s | 4. | 1:01.19 | 4. | 1:33.22 | Heat 1. | | 7. Luis Rojas | --- | 2:05.21 | 4.07s | 6 | 0.54s | 3. | 28.73s | 3. | 1:00.17 | 3. | 1:32.26 | Heat 1. | | 8. Charles Hockin | --- | 2:05.28 | 4.14s | 2 | 0.64s | 4. | 28.74s | 5. | 1:01.40 | 5. | 1:33.80 | Heat 1. | | 9. Ezequiel Trujillo | --- | 2:05.68 | 4.54s | 6 | 0.64s | 4. | 29.49s | 4. | 1:01.58 | 3. | 1:33.73 | Heat 2. | | 10.Anival Rodriguez | --- | 2:10.65 | 9.51s | 2 | 0.57s | 5. | 29.50s | 5. | 1:02.69 | 5. | 1:36.38 | Heat 2. | | 11.Mauricio Rafael Fiol | --- | 2:11.75 | 10.61s | 7 | 0.64s | 6. | 30.39s | 6. | 1:03.92 | 6. | 1:38.30 | Heat 2. |
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