25 January 2013
Last updated at 01:38 GMT
The Venezuelan government called the photo "grotesque", and said it would take legal action against El Pais.
Mr Chavez has not been seen in public since undergoing treatment for cancer.
El Pais has withdrawn the photo from its website and collected copies of the first edition of Thursday's paper from newsstands, the BBC's Tom Burridge reports from Madrid.
The paper said in a statement that it had obtained the image from a news agency but that it had not been able to independently verify the date, location or circumstances of the photo.
The photo had stayed on El Pais's website for around half an hour, it said.
The paper has now opened an investigation into "the mistakes that may have been committed in the verification of the photograph".
Mr Chavez's illness has become a political issue in Venezuela, with the opposition criticising the president's prolonged absence from the country.
Mr Chavez won re-election in October, but his 10 January inauguration ceremony has been indefinitely postponed because of his illness, in a move that forced the Supreme Court to decide on the legality of the situation.
Although the court said the president's absence was legal and authorised by the National Assembly, opponents did not agree with the interpretation.
In recent days, Venezuelan officials have said that Mr Chavez's treatment in Cuba is going well and that he is in good spirits.
False Hugo Chavez photo withdrawn
The Spanish newspaper El Pais apologises after withdrawing a photo of a sick Venezuelan President Hugo Chavez which it now says is a fake.Spain's El Pais apologises for false Hugo Chavez photo
Spain's
El Pais newspaper has apologised after publishing a photo of Venezuelan
President Hugo Chavez which it said has turned out to be a fake.
The photo shows a man in hospital with a tube in his mouth
and was printed on the front page with the headline: "the secret of
Chavez's illness".The Venezuelan government called the photo "grotesque", and said it would take legal action against El Pais.
Mr Chavez has not been seen in public since undergoing treatment for cancer.
El Pais has withdrawn the photo from its website and collected copies of the first edition of Thursday's paper from newsstands, the BBC's Tom Burridge reports from Madrid.
The paper said in a statement that it had obtained the image from a news agency but that it had not been able to independently verify the date, location or circumstances of the photo.
The photo had stayed on El Pais's website for around half an hour, it said.
The paper has now opened an investigation into "the mistakes that may have been committed in the verification of the photograph".
Mr Chavez's illness has become a political issue in Venezuela, with the opposition criticising the president's prolonged absence from the country.
Mr Chavez won re-election in October, but his 10 January inauguration ceremony has been indefinitely postponed because of his illness, in a move that forced the Supreme Court to decide on the legality of the situation.
Although the court said the president's absence was legal and authorised by the National Assembly, opponents did not agree with the interpretation.
In recent days, Venezuelan officials have said that Mr Chavez's treatment in Cuba is going well and that he is in good spirits.
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