| Final A | Team | time | -)time | L | React. | 50m | 100m | 150m | | 1. Thiago Pereira | --- | 1:58.07 | | 5 | 0.70s | 1. | 24.96s | 1. | 54.09s | 1. | 1:28.80 | | 2. Conor J Dwyer | --- | 1:58.64 | 0.57s | 4 | 0.70s | 2. | 25.71s | 2. | 55.73s | 2. | 1:30.67 | | 3. Henrique Rodrigues | --- | 2:03.41 | 5.34s | 3 | 0.71s | 4. | 26.82s | 3. | 56.95s | 3. | 1:32.33 | | 4. Ezequiel Trujillo | --- | 2:04.36 | 6.29s | 6 | 0.78s | 7. | 27.44s | 4. | 58.62s | 4. | 1:34.22 | | 5. Lyam Dias | --- | 2:05.06 | 6.99s | 2 | 0.64s | 3. | 26.60s | 7. | 59.82s | 6. | 1:35.81 | | 6. Esteban Enderica | --- | 2:05.10 | 7.03s | 7 | 0.67s | 6. | 27.41s | 5. | 59.17s | 5. | 1:35.06 | | 7. Miguel Eduardo Robles | --- | 2:06.89 | 8.82s | 1 | 0.79s | 5. | 27.21s | 6. | 59.40s | 8. | 1:37.05 | | 8. William Tyler Harris | --- | 2:08.25 | 10.18s | 8 | 0.70s | 8. | 27.50s | 8. | 1:01.06 | 7. | 1:36.99 |
| Final B | Team | time | -)time | L | React. | 50m | 100m | 150m | | 9. Luis Rojas | --- | 2:09.22 | | 4 | 0.75s | 1. | 27.02s | 1. | 59.45s | 1. | 1:38.81 | -. | | 10.Branden Whitehurst | --- | 2:10.89 | 1.67s | 5 | 0.76s | 2. | 27.04s | 2. | 1:00.29 | 3. | 1:40.79 | -. | | 11.Eladio Carrion | --- | 2:11.14 | 1.92s | 6 | 0.63s | 4. | 28.52s | 4. | 1:04.68 | 2. | 1:40.76 | -. | | 12.Diguan Pigot | --- | 2:15.11 | 5.89s | 3 | | 3. | 28.21s | 3. | 1:03.71 | 4. | 1:43.17 | -. |
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| World record: | | Pan American Games record: |
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| Qualification: | | Standard A: 2:07.2 | | Standard B: 2:11.0 |
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| Heats | Team | time | -)time | L | React. | 50m | 100m | 150m | Heat | | 1. Conor J Dwyer | --- | 2:04.56 | | 5 | 0.71s | 3. | 26.47s | 2. | 57.51s | 2. | 1:33.29 | Heat 2. | | 2. Thiago Pereira | --- | 2:04.84 | 0.28s | 4 | 0.71s | 1. | 26.06s | 1. | 56.78s | 1. | 1:32.87 | Heat 2. | | 3. Henrique Rodrigues | --- | 2:04.88 | 0.32s | 4 | 0.71s | 1. | 26.82s | 1. | 57.30s | 1. | 1:33.19 | Heat 1. | | 4. Ezequiel Trujillo | --- | 2:05.43 | 0.87s | 3 | 0.76s | 6. | 27.79s | 2. | 59.40s | 2. | 1:34.95 | Heat 1. | | 5. Lyam Dias | --- | 2:05.47 | 0.91s | 3 | 0.64s | 4. | 26.87s | 6. | 1:00.48 | 4. | 1:36.11 | Heat 2. | | 6. Esteban Enderica | --- | 2:06.03 | 1.47s | 6 | 0.68s | 4. | 27.56s | 4. | 1:00.03 | 4. | 1:36.35 | Heat 1. | | 7. Miguel Eduardo Robles | --- | 2:06.37 | 1.81s | 6 | 0.79s | 6. | 27.01s | 3. | 57.93s | 3. | 1:35.95 | Heat 2. | | 8. William Tyler Harris | --- | 2:07.74 | 3.18s | 5 | 0.70s | 3. | 27.33s | 3. | 59.64s | 3. | 1:36.15 | Heat 1. | | 9. Luis Rojas | --- | 2:08.17 | 3.61s | 2 | 0.76s | 2. | 26.18s | 4. | 58.37s | 5. | 1:36.81 | Heat 2. | | 10.Pedro Luis Medel | --- | 2:10.46 | 5.90s | 7 | 0.81s | 5. | 27.00s | 5. | 59.55s | 6. | 1:39.17 | Heat 2. | | 11.Branden Whitehurst | --- | 2:12.71 | 8.15s | 2 | 0.76s | 2. | 27.14s | 5. | 1:00.94 | 5. | 1:40.61 | Heat 1. | | 12.Diguan Pigot | --- | 2:13.40 | 8.84s | 7 | 0.76s | 5. | 27.62s | 6. | 1:03.17 | 6. | 1:40.98 | Heat 1. | | 13.Eladio Carrion | --- | 2:13.57 | 9.01s | 8 | 0.65s | 7. | 28.70s | 7. | 1:02.64 | 7. | 1:41.41 | Heat 2. | | 14.Joel Joseph Romeu | --- | 2:18.02 | 13.46s | 1 | 0.70s | 7. | 28.42s | 7. | 1:04.10 | 7. | 1:46.53 | Heat 1. | | 15.Sebastian Jahnsen | --- | 2:26.70 | 22.14s | 1 | 0.70s | 8. | 30.00s | 8. | 1:10.24 | 8. | 1:53.15 | Heat 2. |
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