| Stage 4 (February 23rd): Heredia to Grecia, 84.14 km | ||
| 1 | Inga Cilvinaite (Ltu) Pasta Zara- Cogeas-Manhattan | 2:22:44 |
| 2 | Belen Lopez (Esp) Liontek | 0:03 |
| 3 | Addysson Albershardt (USA) Garrobo- Texops | 0:37 |
| 4 | Evelyn Garcia (ESa) Pasta Zara- Cogeas-Manhattan | |
| 5 | Edith Guillen (CRc) Coopeservidores-Giant | |
| 6 | Lorena Vargas (Col) Iscorp | both s.t |
| 7 | Veronique Fortin (Can) Garrobo- Texops | 1:03 |
| 8 | Anna Potokina (Rus) Liontek | 1:26 |
| 9 | Yussely Mendivil (Mex) Mexican National Team | 2:03 |
| 10 | Ingrid Drexel (Mex) Garrobo- Texops | 2:16 |
| 11 | Diana Pe–uela (Col) CCDR Oreamuno | 4:30 |
| 12 | Marcela Rubiano (CRc) Iscorp | |
| 13 | Alexia Muffat (Fra) Liontek | |
| 14 | Ana Sanabria (Col) Colombian National Team | |
| 15 | Ana Casas (Mex) Mexican National Team | all s.t |
| 16 | Cynthia Lee (Gua) Guatemalan National Team | 4:43 |
| 17 | Katherine Herrera (CRc) Avimil | 5:04 |
| 18 | Agne Silinyte (Ltu) Pasta Zara- Cogeas-Manhattan | 6:07 |
| 19 | Martina Ruzickova (Cze) Garrobo- Texops | s.t |
| 20 | Elena Utrobina (Rus) Liontek | 7:31 |
| 21 | Jazmin Soto (Gua) Guatemalan National Team | 8:49 |
| 22 | Adriana Rojas (CRc) Iscorp | 8:51 |
| 23 | Sylvija Latozaite (Ltu) Garrobo- Texops | 9:08 |
| 24 | Edita Janeliute (Ltu) Pasta Zara- Cogeas-Manhattan | |
| 25 | Giada Borgato (Ita) Pasta Zara- Cogeas-Manhattan | |
| 26 | Nancy Amores (CRc) CCDR Oreamuno | |
| 27 | Natalia Navarro (CRc) CCDR El Guarco V One V Bic. Focus | all s.t |
| 28 | Milagro Mena (CRc) Avimil | 13:04 |
| 29 | Sheyla Gutierrez (Esp) Liontek | 13:08 |
| 30 | Rossella Callovi (Ita) Pasta Zara- Cogeas-Manhattan | s.t |
| 31 | Kathyn Bertine (Skn) Team Rayita | 14:12 |
| 32 | Emelyn Galicia (Gua) Guatemalan National Team | 14:26 |
| 33 | Valentina Paniagua (Col) Iscorp | 16:35 |
| 34 | Ingrid Ramirez (CRc) Team Rayita | |
| 35 | Xenia Estrada (Esa) Garrobo- Texops | |
| 36 | Jessica Jurado (Mex) Mexican National Team | |
| 37 | Gabriela Arias (CRc) Avimil | all s.t |
| 38 | Paula Herrera (CRc) CCDR Oreamuno | 16:38 |
| 39 | Susan Camacho (CRc) CCDR Oreamuno | s.t |
| 40 | Maria Rojas (CRc) CCDR Oreamuno | 17:17 |
| 41 | Julissa Rios (Pan) Team Rayita | 18:15 |
| 42 | Fanny Riberot (Fra) Liontek | 19:00 |
| 43 | Natalia Lopez (CRc) CCDR El Guarco V One V Bic. Focus | 21:54 |
| 44 | Cristina Cortes (CRc) Team Rayita | 28:17 |
| 45 | Ivania Fonseca (CRc) Tostada 1/2 Brooks | s.t |
| 46 | Maria Morales (Gua) Guatemalan National Team | 28:45 |
| 47 | Marcia Rojas (CRc) Team Rayita | 29:36 |
| 48 | Kimberly Molina (CRc) Tostada 1/2 Brooks | s.t |
| 49 | Brenda Mu–os (CRc) CCDR El Guarco V One V Bic. Focus | 32:35 |
| 50 | Laura Marin (CRc) CCDR El Guarco V One V Bic. Focus | 34:36 |
| 51 | Eunice Rojas (CRc) Colombian National Team | 34:47 |
| 52 | Natalia Rojas (CRc) Colombian National Team | 37:10 |
| 53 | Cassandra Rodriguez (CRc) Avimil | 42:31 |
| 54 | Linnette Gamboa (CRc) Colombian National Team | 42:46 |
| DNF | Maira Chinchilla (CRc) CCDR Oreamuno | |
| DNF | Ivannia Montero (CRc) CCDR Oreamuno | |