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Paul was the metropolitan bishop of Mérida in the mid sixth century ( fl. 540s/550s). He was a Greek physician who had travelled to Mérida , where there may have been a Greek expatriate community. Certainly enough Greek clergy were travelling to Spain in the early sixth century that Pope Hormisdas wrote to the Spanish bishops in 518 explaining what to do if Greeks still adhering to the Acacian heresy desired to enter communion with the local church.

At some point in his episcopate, he performed a Caesarian section to save a woman's life. In gratitude, her husband, the richest senator in Lusitania , left all his possessions as a legacy to Paul, as well as immediately giving him one half. Though canon law dictated that all gifts to bishops passed to the Church, Paul kept the legacy as his private possession.

Paul's sister's son, Fidelis , was hired out as a boy to a trading vessel on its way to Spain. When the merchants arrived in Mérida, they approached the bishop for an audience, as was customary, and Paul discovered his nephew. Paul immediately took Fidelis under his wing. Contrary to canon law, he consecrated Fidelis as his successor in the bishopric and tried to force the clergy to accept his decision by threatening to withhold his vast private wealth which technically belonged to the Church. Paul offered