| Final A | Team | time | -)time | L | React. | 50m | 100m | 150m | | 1. Leonardo De Deus | --- | 1:57.92 | | 3 | | 1. | 26.10s | 1. | 56.01s | 1. | 1:26.54 | | 2. Daniel Lawrence Madwed | --- | 1:58.52 | 0.60s | 4 | 0.70s | 3. | 26.55s | 3. | 57.01s | 2. | 1:27.71 | | 3. Kaio Almeida | --- | 1:58.78 | 0.86s | 5 | 0.72s | 4. | 26.73s | 2. | 56.37s | 3. | 1:27.79 | | 4. Omar Andres Pinzon | --- | 2:01.36 | 3.44s | 6 | 0.65s | 2. | 26.40s | 4. | 57.06s | 4. | 1:28.35 | | 5. Marcos Lavado | --- | 2:01.62 | 3.70s | 7 | 0.81s | 8. | 27.93s | 7. | 58.89s | 7. | 1:30.43 | | 6. Robert John Margalis Jr | --- | 2:01.95 | 4.03s | 1 | 0.74s | 6. | 27.18s | 6. | 58.48s | 5. | 1:30.29 | | 7. Israel Duran | --- | 2:02.45 | 4.53s | 2 | 0.74s | 7. | 27.22s | 5. | 57.70s | 6. | 1:30.31 | | 8. Mauricio Rafael Fiol | --- | 2:03.36 | 5.44s | 8 | 0.74s | 5. | 26.85s | 8. | 59.24s | 8. | 1:31.67 |
| Final B | Team | time | -)time | L | React. | 50m | 100m | 150m | | 9. Ramiro Ramirez | --- | 2:02.93 | | s | 4 | 0.79s | 4. | 27.73s | 3. | 59.45s | 3. | 1:31.17 | | 10.Alexis Marquez | --- | 2:02.99 | 0.06s | 5 | | 2. | 27.56s | 4. | 59.91s | 1. | 1:31.00 | | 11.Diego Castillo | --- | 2:03.32 | 0.39s | 3 | | 1. | 27.32s | 1. | 58.47s | 2. | 1:31.09 | | 12.Andres Gonzalez | --- | 2:04.99 | 2.06s | 6 | 0.82s | 3. | 27.64s | 2. | 59.27s | 4. | 1:31.98 | | 13.Joel Joseph Romeu | --- | 2:06.30 | 3.37s | 7 | 0.76s | 6. | 28.69s | 6. | 1:00.90 | 5. | 1:33.83 | | 14.Lazaro Vergara | --- | 2:06.95 | 4.02s | 2 | 0.73s | 5. | 28.61s | 5. | 1:00.70 | 6. | 1:33.92 | | 15.Victor Lopez-Cantera | --- | 2:09.19 | 6.26s | 1 | 0.72s | 7. | 28.96s | 7. | 1:01.47 | 7. | 1:34.40 |
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| World record: | | Michael Phelps (USA) 1:51.51 | | Roma (ITA) 29.07.2009 | | Pan American Games record: | | Kaio de Almeida (BRA) 1:55.45 | | Rio de Janeiro (BRA) 21.07.2007 |
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| Qualification: | | Standard A: | | Standard B: |
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| Heats | Team | time | -)time | L | React. | 50m | 100m | 150m | Heat | | 1. Daniel Lawrence Madwed | USA | 1:59.99 | | 5 | 0.72s | 1. | 26.39s | 1. | 57.03s | 1. | 1:28.21 | Heat 2. | | 2. Kaio Almeida | BRA | 2:00.32 | 0.33s | 4 | 0.70s | 2. | 26.86s | 2. | 57.05s | 2. | 1:28.54 | Heat 2. | | 3. Leonardo De Deus | BRA | 2:00.99 | 1.00s | 4 | 0.71s | 1. | 26.41s | 2. | 57.82s | 4. | 1:29.45 | Heat 1. | | 4. Omar Andres Pinzon | COL | 2:01.02 | 1.03s | 5 | 0.63s | 5. | 27.40s | 3. | 58.04s | 1. | 1:28.31 | Heat 1. | | 5. Israel Duran | MEX | 2:01.27 | 1.28s | 3 | 0.67s | 4. | 27.25s | 1. | 57.13s | 2. | 1:28.99 | Heat 1. | | 6. Marcos Lavado | VEN | 2:01.33 | 1.34s | 6 | 0.76s | 4. | 27.90s | 5. | 58.63s | 5. | 1:30.15 | Heat 2. | | 7. Robert John Margalis Jr | USA | 2:01.62 | 1.63s | 3 | | 5. | 27.92s | 3. | 58.14s | 3. | 1:29.23 | Heat 2. | | 8. Mauricio Rafael Fiol | PER | 2:01.91 | 1.92s | 7 | 0.71s | 2. | 27.13s | 6. | 58.76s | 3. | 1:29.16 | Heat 1. | | 9. Ramiro Ramirez | MEX | 2:02.45 | 2.46s | 7 | 0.78s | 3. | 27.53s | 4. | 58.44s | 4. | 1:29.80 | Heat 2. | | 10.Alexis Marquez | VEN | 2:02.58 | 2.59s | 2 | 0.83s | 6. | 28.60s | 6. | 59.69s | 6. | 1:31.48 | Heat 2. | | 11.Diego Castillo | PAN | 2:03.44 | 3.45s | 6 | 0.80s | 3. | 27.21s | 5. | 58.32s | 5. | 1:30.29 | Heat 1. | | 12.Andres Gonzalez | ARG | 2:05.29 | 5.30s | 2 | 0.84s | 5. | 27.40s | 4. | 58.27s | 6. | 1:31.37 | Heat 1. | | 13.Lazaro Vergara | CUB | 2:06.24 | 6.25s | 1 | 0.72s | 8. | 28.55s | 8. | 1:00.19 | 7. | 1:32.85 | Heat 1. | | 14.Joel Joseph Romeu | URU | 2:07.87 | 7.88s | 1 | 0.79s | 7. | 29.34s | 7. | 1:01.26 | 7. | 1:35.33 | Heat 2. | | 15.Victor Lopez-Cantera | NCA | 2:10.22 | 10.23s | 8 | 0.61s | 7. | 28.54s | 7. | 1:00.12 | 8. | 1:33.27 | Heat 1. | | -. Shaune Fraser | CAY | DNS | | 8 | | | | | | | | Heat 2. |
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