It was held in the city of Manatí, Puerto Rico, from 20 to 24 August 2018.

[1] The tournament was scheduled to include eight teams, including the Virgin Islands, but they withdrew.

[2] In this round, the teams were drawn into two groups of three and four teams; each group played a round-robin.

The top two teams in each group advanced to the championship round, consisting of semifinals, a bronze medal game, and a gold medal game.

Semifinalists also qualify for the 2019 FIBA Women's AmeriCup.