Antimicrobial resistance (AMR) is one of the main public health problems that also affects environmental ecosystems. Sinkholes are understudied groundwater ecosystems that may act as reservoirs and dissemination routes for AMR. This study evaluated the composition, distribution, and antimicrobial resistance profiles of culturable ampicillin-resistant Gram-negative bacteria recovered from sinkholes of the Yucatán Peninsula, Mexico. Water samples were collected from 27 sinkholes during dry and rainy seasons. The isolates were identified by MALDI-TOF MS and evaluated by broth microdilution. Representative E. coli isolates were analyzed by whole-genome sequencing. A total of 193 ampicillin-resistant Gram-negative isolates were recovered. The most frequently recovered genera were Enterobacter, Klebsiella, and Escherichia, which were detected across all hydrogeological zones. Resistance to cefotaxime, levofloxacin, gentamicin, and tetracycline was detected among several bacterial genera. Opportunistic bacterial species associated with healthcare-associated infections, including K. pneumoniae, A. baumannii, and P. aeruginosa, were also identified. Genomic analysis of 19 E. coli isolates revealed resistance determinants associated with multiple antimicrobial classes and a diverse population structure dominated by phylogroup B1. These findings show that the Ring of Cenotes aquifer harbors diverse populations of culturable ampicillin-resistant Gram-negative bacteria and emphasize the importance of groundwater ecosystems as environmental reservoirs of AMR.