| Rank | Bib | Name | Affiliation | Time | Split Time | Laps |
| 1 | 23 | Jennifer CESAR | VEN - Venezuela | 2:04:42. | 21:32. | 0 |
| 2 | 4 | Lina Marcela HERNANDEZ GOMEZ | COL - Colombia | 2:04:43. | 21:34. | 0 |
| 3 | 31 | Aranza VILLALON SANCHEZ | CHI - Chile | 2:04:43. | 21:33. | 0 |
| 4 | 46 | Maribel Roxana AGUIRRE MANGUE | ARG - Argentina | 2:04:44. | 21:33. | 0 |
| 5 | 74 | Taise Maiara BENATO | BRA - Brazil | 2:04:44. | 21:34. | 0 |
| 6 | 26 | Wilmarys Del Valle MORENO DURAN | VEN - Venezuela | 2:04:49. | 21:39. | 0 |
| 7 | 75 | Wellyda Regisleyne DOS SANTOS RODRIGUES | BRA - Brazil | 2:07:22. | 22:53. | 0 |
| 8 | 21 | Angie Sabrina GONZALEZ GARCIA | VEN - Venezuela | 2:07:23. | 22:53. | 0 |
| 9 | 2 | Diana Carolina PENUELA MARTINEZ | COL - Colombia | 2:07:23. | 22:53. | 0 |
| 10 | 33 | Paola MUNOZ GRANDON | CHI - Chile | 2:07:23. | 22:54. | 0 |
| 11 | 5 | Paula Andrea PATINO BEDOYA | COL - Colombia | 2:07:23. | 22:54. | 0 |
| 12 | 24 | Lilibeth De Carmen CHACON GARCIA | VEN - Venezuela | 2:07:23. | 22:52. | 0 |
| 13 | 1 | Andrea ALZATE GOMEZ | COL - Colombia | 2:07:23. | 22:55. | 0 |
| 14 | 71 | Alice Tamirys LEITE DE MELO | BRA - Brazil | 2:07:24. | 22:54. | 0 |
| 15 | 51 | Agua Marina ESPINOLA SALINAS | PAR - Paraguay | 2:07:24. | 22:56. | 0 |
| 16 | 3 | Elizabeth CASTANO QUINTERO | COL - Colombia | 2:07:24. | 22:55. | 0 |
| 17 | 52 | Araceli Jazmin GALEANO CENTURION | PAR - Paraguay | 2:07:24. | 22:54. | 0 |
| 18 | 81 | Agustina REYES PERDOMO | URU - Uruguay | 2:07:24. | 22:54. | 0 |
| 19 | 14 | Miryam Maritza NUNEZ PADILLA | ECU - Ecuador | 2:07:24. | 22:53. | 0 |
| 20 | 82 | Mariana GARCIA BRITOS | URU - Uruguay | 2:07:24. | 22:55. | 0 |
| 21 | 12 | Dayana Lizbeth AGUILAR GARCIA | ECU - Ecuador | 2:07:24. | 22:56. | 0 |
| 22 | 62 | Elizabeth VASQUEZ AVILA | BOL - Bolivia | 2:07:24. | 22:54. | 0 |
| 23 | 35 | Victoria MARTINEZ RETAMAL | CHI - Chile | 2:07:24. | 22:55. | 0 |
| 24 | 25 | Veronica Sofia ABREU ALVARADO | VEN - Venezuela | 2:07:25. | 22:54. | 0 |
| 25 | 34 | Paula VILLALON SANCHEZ | CHI - Chile | 2:07:25. | 22:55. | 0 |
| 26 | 22 | Angy Deneska LUNA RAMIREZ | VEN - Venezuela | 2:07:25. | 22:56. | 0 |
| 27 | 32 | Karla VALLEJOS PUCHI | CHI - Chile | 2:07:27. | 22:56. | 0 |
| 28 | 44 | Sofia MARTELLI | ARG - Argentina | 2:07:27. | 22:59. | 0 |
| 29 | 13 | Jessenia Esther GALARZA MUNOZ | ECU - Ecuador | 2:07:29. | 23:12. | 0 |
| 30 | 6 | Serika Mitchell GULUMA ORTIZ | COL - Colombia | 2:07:29. | 23:00. | 0 |
| 31 | 72 | Ana Paula POLEGATCH | BRA - Brazil | 2:07:29. | 23:01. | 0 |
| 32 | 73 | Ana Vitoria GOUVEA VIEIRA ALMEIDA MAGALHAES | BRA - Brazil | 2:07:29. | 22:58. | 0 |
| 33 | 83 | Wendy DUCREUX | PAN - Panama | 2:07:31. | 23:00. | 0 |
| 34 | 41 | Antonella Lilia LEONARDI | ARG - Argentina | 2:07:31. | 23:01. | 0 |
| 35 | 61 | Abigail SARABIA RICALDEZ | BOL - Bolivia | 2:07:32. | 23:00. | 0 |
| 36 | 42 | Cristina Irma GREVE | ARG - Argentina | 2:07:32. | 23:03. | 0 |
| 37 | 43 | Maria Mercedes FADIGA | ARG - Argentina | 2:07:32. | 23:02. | 0 |
| 38 | 45 | Julieta BENEDETTI VENTURELLA | ARG - Argentina | 2:12:14. | 23:48. | 0 |
| 39 | 53 | Samira Noemi MARTINEZ MENDEZ | PAR - Paraguay | 2:12:14. | 23:47. | 0 |
| 40 | 54 | Sara Maria TORRES CALCENA | PAR - Paraguay | 2:13:09. | 23:29. | 0 |
| 41 | 63 | Silvia CHINCHILLA | BOL - Bolivia | 2:13:09. | 23:44. | 0 |
| 42 | 55 | Silvia Maria RODAS MALDONADO | PAR - Paraguay | 2:13:09. | 23:30. | 0 |
| 43 | 56 | Sonia OLMEDO OCAMPOS | PAR - Paraguay | 2:13:09. | 23:30. | 0 |
| DNF | 11 | Ana VIVAR TORRES | ECU - Ecuador | | 20:04. | 4 |
