We characterized an outbreak of imipenem-resistant Acinetobacter baumannii with clinical and environmental isolates from a tertiary care hospital in San Luis Potosi, Mexico. During a 4-month period, a total of 32 nonrepetitive imipenem-resistant clinical isolates of A. baumannii were collected. All isolates were susceptible to colistin and tigecycline and resistant to cefepime, ceftazidime, ceftriaxone, imipenem, and meropenem. Genotyping by pulsed-field gel electrophoresis showed a major clone (A). Multilocus sequence type (MLST) analysis was performed, revealing sequence type (ST) 417 (ST417) and 208 (ST208). The bla IMP-, bla VIM-, bla GIM-, bla SIM-, bla NDM-type , and bla OXA-type (bla OXA-23-like , bla OXA-24-like , bla OXA-51-like , and bla OXA-58-like ) genes were screened and showed that the bla OXA-51-like and bla OXA-24-like genes were present in all isolates. Sequencing and southern hybridization were performed, confirming the presence of the bla OXA-72 gene and its plasmid-borne nature. In addition, the bla OXA-72 -XerC/XerD-like association was identified. These findings indicate that a clonal spread of bla OXA-72 -producing A. baumannii ST417 had occurred throughout the hospital. The ST417 corresponded with a previous ST described in the United States.